1669665097 NPI number — MRS. PILAR DIAZ ARABIA NP

Table of content: MRS. PILAR DIAZ ARABIA NP (NPI 1669665097)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669665097 NPI number — MRS. PILAR DIAZ ARABIA NP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ARABIA
Provider First Name:
PILAR
Provider Middle Name:
DIAZ
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
NP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DIAZ
Provider Other First Name:
PILAR
Provider Other Middle Name:
ANDIN
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
APN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1669665097
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1455 E KATIE AVE
Provider Second Line Business Mailing Address:
K 13
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89119-5628
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-732-1877
Provider Business Mailing Address Fax Number:
702-982-6784

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1455 E KATIE AVE
Provider Second Line Business Practice Location Address:
K 13
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89119-5628
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-732-1877
Provider Business Practice Location Address Fax Number:
702-982-6784
Provider Enumeration Date:
08/20/2007

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: 363LF0000X , with the licence number:  APN 001003 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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