1942427869 NPI number — DR. NATALIA ALVARADO STADLER DMD

Table of content: DR. NATALIA ALVARADO STADLER DMD (NPI 1942427869)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942427869 NPI number — DR. NATALIA ALVARADO STADLER DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STADLER
Provider First Name:
NATALIA
Provider Middle Name:
ALVARADO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
STADLER
Provider Other First Name:
NATALIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
DMD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1942427869
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2323 NE 26TH AVE
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
POMPANO BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33062-1147
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
954-941-5550
Provider Business Mailing Address Fax Number:
954-628-5066

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2323 NE 26TH AVE
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
POMPANO BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33062-1147
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
954-941-5550
Provider Business Practice Location Address Fax Number:
954-628-5066
Provider Enumeration Date:
04/20/2007

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: 1223G0001X , with the licence number:  DN 15362 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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