1063910230 NPI number — SERVICIOS MEDICOS PARA TODOS S.A. DE C.V.

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 1063910230 NPI number — SERVICIOS MEDICOS PARA TODOS S.A. DE C.V.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SERVICIOS MEDICOS PARA TODOS S.A. DE C.V.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1063910230
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/16/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 11577
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33339-1577
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
872-874 AV. LOPEZ PORTILLO SM 59 MZ 37
Provider Second Line Business Practice Location Address:
UNIDAD MORELOS ENTRE AV. KABAH Y AV. COMALCALCO
Provider Business Practice Location Address City Name:
CANCUN
Provider Business Practice Location Address State Name:
QUINTANA ROO
Provider Business Practice Location Address Postal Code:
77515
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
998-843-5454
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/23/2018

Additional Information

Authorized Official

Authorized Official Last Name:
GARRIDO HERNANDEZ
Authorized Official First Name:
JUAN
Authorized Official Middle Name:
CARLOS
Authorized Official Title or Position:
SERVICIO AL PACIENTE
Authorized Official Telephone Number:
954-903-7445

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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