1033534433 NPI number — LUIS MARIANO ROQUETA SR. SURGICAL ASSISTANT

Table of content: LUIS MARIANO ROQUETA SR. SURGICAL ASSISTANT (NPI 1033534433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033534433 NPI number — LUIS MARIANO ROQUETA SR. SURGICAL ASSISTANT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROQUETA
Provider First Name:
LUIS
Provider Middle Name:
MARIANO
Provider Name Prefix Text:
Provider Name Suffix Text:
SR.
Provider Credential Text:
SURGICAL ASSISTANT
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:
1033534433
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/22/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1190 NW 95TH ST
Provider Second Line Business Mailing Address:
STE # 306
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33150-2063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-693-0000
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1190 NW 95TH ST
Provider Second Line Business Practice Location Address:
STE # 306
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33150-2063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-693-0000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2014

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: 246ZC0007X , with the licence number:  13-486 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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