1073635884 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Table of content: MRS. REBECCA BRACHER BALL DDS (NPI 1326147851)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073635884 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEPARTAMENTO DE SALUD OFICIAL
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:
1073635884
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
#100 URBANIZAUOR SANTA JUANITA
Provider Second Line Business Mailing Address:
AVENIDA LAUREL
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00956-4816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-765-2929
Provider Business Mailing Address Fax Number:
787-778-1209

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL DR. RAMON RUIZ ANAU
Provider Second Line Business Practice Location Address:
#100 URB. SANTA JUANITA AVE. LAUREL
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956-4806
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-778-1209
Provider Business Practice Location Address Fax Number:
787-778-1209
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DURAN
Authorized Official First Name:
CIREDUVEL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR EXECUTIVO
Authorized Official Telephone Number:
787-945-1472

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , 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)

  • Identifier: 660433481-17 . This is a "LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S212 . This is a "GENERALISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40172 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S292 . This is a "INTERNISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S349 . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S411 . This is a "INFECTEOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 30346 . This is a "LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4091-5 . This is a "INFECTOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S002 . This is a "LABORATORIO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4091-1 . This is a "GENERALISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-13H . This is a "INFECTOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-13T . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-13K . This is a "GENERALISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4091-3 . This is a "LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-13L . This is a "INTERNISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 81454 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101235 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7400001 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 992358 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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