1588998876 NPI number — MARTA TORRES VILLARREAL INTERPRETER

Table of content: MARTA TORRES VILLARREAL INTERPRETER (NPI 1588998876)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588998876 NPI number — MARTA TORRES VILLARREAL INTERPRETER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VILLARREAL
Provider First Name:
MARTA
Provider Middle Name:
TORRES
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
INTERPRETER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
TORRES
Provider Other First Name:
MARTA
Provider Other Middle Name:
MARGARITA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1588998876
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/20/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1756 GLENEAGLE CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ROMEOVILLE
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60446-3907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
815-886-6490
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1756 GLENEAGLE CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROMEOVILLE
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60446-3907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
815-886-6490
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2009

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: 171R00000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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