1396003570 NPI number — ERNESTO MIRELES, DDS

Table of content: (NPI 1396003570)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396003570 NPI number — ERNESTO MIRELES, DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ERNESTO MIRELES, DDS
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:
1396003570
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
608 E BORONDA RD
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
SALINAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93906-3129
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-443-3524
Provider Business Mailing Address Fax Number:
831-443-4637

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
608 E BORONDA RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93906-3129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-443-3524
Provider Business Practice Location Address Fax Number:
831-443-4637
Provider Enumeration Date:
04/25/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MIRELES
Authorized Official First Name:
ERNESTO
Authorized Official Middle Name:
Authorized Official Title or Position:
DOCTOR/OWNER
Authorized Official Telephone Number:
831-443-3524

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  35946 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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