1972879807 NPI number — MISS MARIA DE LOS ANGELES FALCHE-PACHECO MSW

Table of content: MISS MARIA DE LOS ANGELES FALCHE-PACHECO MSW (NPI 1972879807)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972879807 NPI number — MISS MARIA DE LOS ANGELES FALCHE-PACHECO MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FALCHE-PACHECO
Provider First Name:
MARIA DE LOS
Provider Middle Name:
ANGELES
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

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:
1972879807
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/20/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 560458
Provider Second Line Business Mailing Address:
BO. MAGAS ABAJO CARRETERA #2
Provider Business Mailing Address City Name:
GUAYANILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00656-0458
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
939-207-2894
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
996 SAN ROBERTO SP SUITE 301 BUILDIING V
Provider Second Line Business Practice Location Address:
PROF. OFFICE PARK PFEZER TOWER APS HEALTHCARE
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-8574
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-207-2894
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/26/2012

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: 261QA0005X , with the licence number:  4755930 , 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)