1285967596 NPI number — MS. AMPARO R. NUNEZ PRESCHOOL TEACHER

Table of content: MS. AMPARO R. NUNEZ PRESCHOOL TEACHER (NPI 1285967596)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285967596 NPI number — MS. AMPARO R. NUNEZ PRESCHOOL TEACHER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NUNEZ
Provider First Name:
AMPARO
Provider Middle Name:
R.
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
PRESCHOOL TEACHER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RECIO
Provider Other First Name:
AMPARO
Provider Other Middle Name:
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSYCHOLOGY COUNSELOR
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1285967596
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 772
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33576
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-215-6205
Provider Business Mailing Address Fax Number:
813-272-3531

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12548 MAGNOLIA STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33576
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
813-215-6205
Provider Business Practice Location Address Fax Number:
813-272-3531
Provider Enumeration Date:
09/18/2009

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: 222Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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