1023765476 NPI number — DR. EUGENIO LORENZO CAMERON MD, PHD

Table of content: DR. EUGENIO LORENZO CAMERON MD, PHD (NPI 1023765476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023765476 NPI number — DR. EUGENIO LORENZO CAMERON MD, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMERON
Provider First Name:
EUGENIO
Provider Middle Name:
LORENZO
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, PHD
Provider Gender Code:
M

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:
1023765476
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/06/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 BARRIO GAZTANYO
Provider Second Line Business Mailing Address:
1A
Provider Business Mailing Address City Name:
ERRENTERIA
Provider Business Mailing Address State Name:
PROVINCIA
Provider Business Mailing Address Postal Code:
20100
Provider Business Mailing Address Country Code:
ES
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CENTRO DE SALUD LOIOLA, 4 KALEA
Provider Second Line Business Practice Location Address:
PAIS VASCO
Provider Business Practice Location Address City Name:
ERRENTERIA
Provider Business Practice Location Address State Name:
GUIPUZCOA
Provider Business Practice Location Address Postal Code:
20100
Provider Business Practice Location Address Country Code:
ES
Provider Business Practice Location Address Telephone Number:
622-468-8260
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/06/2022

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: 101YP1600X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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