1013131432 NPI number — NEONATOLOGIST ASSOCIATES, P.S.C.

Table of content: KRISTIN OLIVIA TRISTAO PH.D. (NPI 1508409202)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1013131432 NPI number — NEONATOLOGIST ASSOCIATES, P.S.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEONATOLOGIST ASSOCIATES, P.S.C.
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:
1013131432
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/18/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HC 03 BOX 26509
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN GERMAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00683
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-892-1920
Provider Business Mailing Address Fax Number:
787-264-2760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PR - 2 KM 173
Provider Second Line Business Practice Location Address:
TORRE SAN VICENTE DE PAUL SUITE 509-510
Provider Business Practice Location Address City Name:
SAN GERMAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-892-1920
Provider Business Practice Location Address Fax Number:
787-264-2760
Provider Enumeration Date:
04/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SUAREZ VILLAMIL
Authorized Official First Name:
MIGUEL
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
787-892-1920

Provider Taxonomy Codes

  • Taxonomy code: 2080N0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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





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