1689608242 NPI number — JAVIER ESPINA MS, PT

Table of content: JAVIER ESPINA MS, PT (NPI 1689608242)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689608242 NPI number — JAVIER ESPINA MS, PT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ESPINA
Provider First Name:
JAVIER
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, PT
Provider Gender Code:
M

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:
1689608242
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 SAN JOSE STREET
Provider Second Line Business Mailing Address:
COND. SAN FRANCISCO JAVIER 206
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-647-2790
Provider Business Mailing Address Fax Number:
787-292-0825

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
C2 AVE ALEJANDRINO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GUAYNABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00969-4704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-647-2790
Provider Business Practice Location Address Fax Number:
787-230-1624
Provider Enumeration Date:
07/10/2006

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: 2251H1300X , with the licence number:  978 , 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)