1699439422 NPI number — HOSPITAL CEMEQ

Table of content: MRS. NITA HUGO LARGOZA DMD (NPI 1811036676)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699439422 NPI number — HOSPITAL CEMEQ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL CEMEQ
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:
1699439422
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/27/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HOSPITAL CEMEQ
Provider Second Line Business Mailing Address:
304 S. JONES BLVD #5822
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
HOSPITAL CEMEQ
Provider Second Line Business Practice Location Address:
AV. EJERCITO MEXICANO 2207
Provider Business Practice Location Address City Name:
MAZATLAN
Provider Business Practice Location Address State Name:
SIN
Provider Business Practice Location Address Postal Code:
82010
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
669-985-0997
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2021

Additional Information

Authorized Official

Authorized Official Last Name:
UZUNA
Authorized Official First Name:
LUIZ ROBERTO
Authorized Official Middle Name:
TOGO
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
669-985-0997

Provider Taxonomy Codes

  • Taxonomy code: 261QE0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: CHM-040601-U96 . This is a "STATE" identifier . This identifiers is of the category "OTHER".




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