1861723751 NPI number — MV SANTIAGO MEDICAL CENTER

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 1861723751 NPI number — MV SANTIAGO MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MV SANTIAGO MEDICAL CENTER
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:
1861723751
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/17/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BRGY DE OCAMPO
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TRECE MARTIRES CITY
Provider Business Mailing Address State Name:
PHILIPPINES
Provider Business Mailing Address Postal Code:
063
Provider Business Mailing Address Country Code:
PH
Provider Business Mailing Address Telephone Number:
63-419-1877
Provider Business Mailing Address Fax Number:
63-419-1866

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BRGY DE OCAMPO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TRECE MARTIRES CITY
Provider Business Practice Location Address State Name:
CAVITE
Provider Business Practice Location Address Postal Code:
063
Provider Business Practice Location Address Country Code:
PH
Provider Business Practice Location Address Telephone Number:
63-419-1877
Provider Business Practice Location Address Fax Number:
63-419-1866
Provider Enumeration Date:
01/17/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SANTIAGO
Authorized Official First Name:
MANUEL
Authorized Official Middle Name:
VALENZUELA
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
63-419-1877

Provider Taxonomy Codes

  • Taxonomy code: 282E00000X , with the licence number:  282E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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