1720941453 NPI number — HOSPITAL CLINCIA DEL MAR INTERNATIONAL BILLING

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720941453 NPI number — HOSPITAL CLINCIA DEL MAR INTERNATIONAL BILLING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOSPITAL CLINCIA DEL MAR INTERNATIONAL BILLING
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:
1720941453
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/09/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19300 RINALDI ST UNIT 8392
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PORTER RANCH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91327-8870
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
888-608-0596
Provider Business Mailing Address Fax Number:
609-710-5338

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVENIDA REVOLUCION, LOPEZ MATEOS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MAZATLAN
Provider Business Practice Location Address State Name:
SINALOA
Provider Business Practice Location Address Postal Code:
81240
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/09/2025

Additional Information

Authorized Official

Authorized Official Last Name:
DEMARCO
Authorized Official First Name:
JOMARIE
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
888-608-0596

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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