1245221290 NPI number — MR. EDWIN ORLANDO GOYCO M.D.

Table of content: MR. EDWIN ORLANDO GOYCO M.D. (NPI 1245221290)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245221290 NPI number — MR. EDWIN ORLANDO GOYCO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOYCO
Provider First Name:
EDWIN
Provider Middle Name:
ORLANDO
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1245221290
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3203
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-3203
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-834-2202
Provider Business Mailing Address Fax Number:
787-834-2202

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
27 CALLE NELSON PEREA
Provider Second Line Business Practice Location Address:
DOCTOR'S CENTER SUITE 101
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680-4949
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-2202
Provider Business Practice Location Address Fax Number:
787-834-2202
Provider Enumeration Date:
10/31/2005

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: 207R00000X , with the licence number:  11090 , 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: 89130 . This is a "TRIPLE SSS" identifier . This identifiers is of the category "OTHER".




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