1043374069 NPI number — DR. GILDA ARCALES VILLAREAL DRNP

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 1043374069 NPI number — DR. GILDA ARCALES VILLAREAL DRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VILLAREAL
Provider First Name:
GILDA
Provider Middle Name:
ARCALES
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
VILLAREAL
Provider Other First Name:
GILDA
Provider Other Middle Name:
ARCALES
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
DRNP
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1043374069
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1524 PINTO LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89106-4195
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-383-6285
Provider Business Mailing Address Fax Number:
702-383-2757

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1524 PINTO LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89106-4195
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-383-6285
Provider Business Practice Location Address Fax Number:
702-383-2757
Provider Enumeration Date:
12/21/2006

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: 363LP0200X , with the licence number:  APN000911 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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