1538106893 NPI number — GILBERTO VAZQUEZ PEREZ

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 1538106893 NPI number — GILBERTO VAZQUEZ PEREZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GILBERTO VAZQUEZ PEREZ
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:
1538106893
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/04/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 72 BOX 3951
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NARANJITO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00719-9720
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-869-2687
Provider Business Mailing Address Fax Number:
787-869-0536

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARRETERA 152 INTERSECCION 803
Provider Second Line Business Practice Location Address:
BO CEDRO ARRIBA
Provider Business Practice Location Address City Name:
NARANJITO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00719-9720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-869-2687
Provider Business Practice Location Address Fax Number:
787-869-0536
Provider Enumeration Date:
06/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VAZQUEZ PEREZ
Authorized Official First Name:
GILBERTO
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
787-869-2687

Provider Taxonomy Codes

  • Taxonomy code: 261QR0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: X000230 . This is a "MENONITA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 511199 . This is a "PREFERRED HEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660506074 . This is a "MAPFRE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 810039 . This is a "MEDICARE Y MUCHO MAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 85042 . This is a "TRIPLE S" identifier . This identifiers is of the category "OTHER".
  • Identifier: 85042 . This is a "TRIPLE C" identifier . This identifiers is of the category "OTHER".
  • Identifier: 051722 . This is a "CRUZ AZUL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7190123 . This is a "HUMANA INSURANCE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1143 . This is a "INTERNATIONAL MEDICAL CAR" identifier . This identifiers is of the category "OTHER".
  • Identifier: 660506074 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7190123 . This is a "HUMANA REFORMA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7190123 . This is a "HUMANA HEALTH PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: RX0125 . This is a "PALIC" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com