1730741877 NPI number — DR. ALISABEL BEATRIZ BEURKET PHD

Table of content: DR. ALISABEL BEATRIZ BEURKET PHD (NPI 1730741877)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730741877 NPI number — DR. ALISABEL BEATRIZ BEURKET PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BEURKET
Provider First Name:
ALISABEL
Provider Middle Name:
BEATRIZ
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BEURKET
Provider Other First Name:
ALISBAEL
Provider Other Middle Name:
BEATRIZ
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1730741877
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/28/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2100 BUCARE SUITE 105 CALLE TURQUESA
Provider Second Line Business Mailing Address:
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:
787-404-5933
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
MF57 PLAZA VEINTITRES
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CATANO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00962-6723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-969-1515
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2019

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: 103T00000X , with the licence number:  6327 , 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)