1023736154 NPI number — GABRIELA ALEJANDRA MEDINA LIMA ATC

Table of content: GABRIELA ALEJANDRA MEDINA LIMA ATC (NPI 1023736154)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023736154 NPI number — GABRIELA ALEJANDRA MEDINA LIMA ATC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEDINA LIMA
Provider First Name:
GABRIELA ALEJANDRA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
ATC
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:
1023736154
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
12758 FOLIAGE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
APPLE VALLEY
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55124-7978
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
754-304-7514
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1705 S SAN FRANCISCO ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FLAGSTAFF
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
86011-2205
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-523-5353
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/15/2022

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: 2255A2300X , with the licence number:  ATR-100208 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com