1033216742 NPI number — DR. ARTURO ALEJANDRO NOLASCO GARRIDO MEDICAL DOCTOR

Table of content: DR. ARTURO ALEJANDRO NOLASCO GARRIDO MEDICAL DOCTOR (NPI 1033216742)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033216742 NPI number — DR. ARTURO ALEJANDRO NOLASCO GARRIDO MEDICAL DOCTOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOLASCO GARRIDO
Provider First Name:
ARTURO
Provider Middle Name:
ALEJANDRO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MEDICAL DOCTOR
Provider Gender Code:
M

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:
1033216742
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
BH16 CALLE 110 APT A
Provider Second Line Business Mailing Address:
VALLE ARRIBA HEIGHTS
Provider Business Mailing Address City Name:
CAROLINA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00983-3345
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-315-1010
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22 BDA MONACILLOS
Provider Second Line Business Practice Location Address:
PASEO DR. JOSE CELSO BARBOSA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-777-3535
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/17/2006

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: 208D00000X , with the licence number:  15732 , 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)