1720308877 NPI number — NORTHEASTERN MEDICAL HEALTH GROUP LLC.

Table of content: (NPI 1720308877)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720308877 NPI number — NORTHEASTERN MEDICAL HEALTH GROUP LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHEASTERN MEDICAL HEALTH GROUP LLC.
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:
1720308877
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1189
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FAJARDO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00738-1189
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-556-2725
Provider Business Mailing Address Fax Number:
787-998-9898

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE. GENERAL VALERO 375
Provider Second Line Business Practice Location Address:
EDIFICIO ESQUINA MEDICA SUITE 103
Provider Business Practice Location Address City Name:
FAJARDO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-556-2725
Provider Business Practice Location Address Fax Number:
787-998-9898
Provider Enumeration Date:
06/10/2010

Additional Information

Authorized Official

Authorized Official Last Name:
ROBLES PADRO
Authorized Official First Name:
VICTOR
Authorized Official Middle Name:
WILFREDO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-556-2725

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  16707 , 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)





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