1346416831 NPI number — OFICINA DENTAL DRA. GINA THOMAS

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346416831 NPI number — OFICINA DENTAL DRA. GINA THOMAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OFICINA DENTAL DRA. GINA THOMAS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1346416831
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB MUNOZ RIVERA
Provider Second Line Business Mailing Address:
5 CALLE ACERINA
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-720-4267
Provider Business Mailing Address Fax Number:
787-720-7717

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB MUNOZ RIVERA
Provider Second Line Business Practice Location Address:
5 CALLE ACERINA
Provider Business Practice Location Address City Name:
GUAYNABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-720-4267
Provider Business Practice Location Address Fax Number:
787-720-7717
Provider Enumeration Date:
05/05/2008

Additional Information

Authorized Official

Authorized Official Last Name:
THOMAS
Authorized Official First Name:
GINA
Authorized Official Middle Name:
Authorized Official Title or Position:
DENTIST / OWNER
Authorized Official Telephone Number:
787-720-4267

Provider Taxonomy Codes

  • Taxonomy code: 1223D0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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