1902934185 NPI number — DR. ORLANDO BRINN ESPARRA M.D

Table of content: DR. ORLANDO BRINN ESPARRA M.D (NPI 1902934185)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902934185 NPI number — DR. ORLANDO BRINN ESPARRA M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BRINN ESPARRA
Provider First Name:
ORLANDO
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ESPARRA
Provider Other First Name:
ORLANDO
Provider Other Middle Name:
BRINN
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1902934185
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 855
Provider Second Line Business Mailing Address:
HOSPITAL METROPOLITANO DR. TITO MATTEI
Provider Business Mailing Address City Name:
YAUCO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00698-0855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
178-726-7381
Provider Business Mailing Address Fax Number:
178-726-7381

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL METROPOLITANO DR. TITO MATTEI
Provider Second Line Business Practice Location Address:
HOSPITAL METROPOLITANO DR. TITO MATTEI
Provider Business Practice Location Address City Name:
YAUCO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00698
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
178-726-7381
Provider Business Practice Location Address Fax Number:
178-726-7381
Provider Enumeration Date:
03/01/2007

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: 2080A0000X , with the licence number:  8600 , 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)