1437988599 NPI number — YANIRIS PADILLA SANCHEZ BS PHL

Table of content: YANIRIS PADILLA SANCHEZ BS PHL (NPI 1437988599)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437988599 NPI number — YANIRIS PADILLA SANCHEZ BS PHL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PADILLA SANCHEZ
Provider First Name:
YANIRIS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
BS PHL
Provider Gender Code:
F

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:
1437988599
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7187 CALLE MELENDEZ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SABANA SECA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00952-4334
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
939-282-7899
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB VILLA MATILDE
Provider Second Line Business Practice Location Address:
CARR 165 CALLE 1 A-8 LOCAL 3
Provider Business Practice Location Address City Name:
TOA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00953-2331
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-360-4933
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/29/2024

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: 235Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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