1558469403 NPI number — SMITH & NEPHEW INC.

Table of content: (NPI 1558469403)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558469403 NPI number — SMITH & NEPHEW INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SMITH & NEPHEW INC.
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:
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:
1558469403
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 191952
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00919-1952
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-764-5115
Provider Business Mailing Address Fax Number:
787-764-6688

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
361 CALLE ANGEL BUONOMO
Provider Second Line Business Practice Location Address:
CESAR CASTILLO BUILDING
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918-1308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-764-5115
Provider Business Practice Location Address Fax Number:
787-764-6688
Provider Enumeration Date:
09/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RAMAZZOTTI
Authorized Official First Name:
PEDRO
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGING DIRECTOR
Authorized Official Telephone Number:
787-764-5115

Provider Taxonomy Codes

  • Taxonomy code: 335E00000X , 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: 60232 . This is a "NUMERO PROVEEDOR TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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