1336143064 NPI number — DR. AIXA E RODRIGUEZ VAZQUEZ M.D.

Table of content: DR. AIXA E RODRIGUEZ VAZQUEZ M.D. (NPI 1336143064)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336143064 NPI number — DR. AIXA E RODRIGUEZ VAZQUEZ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RODRIGUEZ VAZQUEZ
Provider First Name:
AIXA
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1336143064
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/25/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PMB 185
Provider Second Line Business Mailing Address:
PO BOX 30500
Provider Business Mailing Address City Name:
MANATI
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00674-3050
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-621-3400
Provider Business Mailing Address Fax Number:
787-621-3401

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
KM 47.7 CARR. 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674-5765
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-621-3400
Provider Business Practice Location Address Fax Number:
787-621-3401
Provider Enumeration Date:
06/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X , with the licence number:  10800 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 10800 . This is a "LICENSE NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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