1063678944 NPI number — PRINCESS MARIA CURTIS MD

Table of content: NADYA S DAVILA LOURIDO M.D. (NPI 1518255652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063678944 NPI number — PRINCESS MARIA CURTIS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CURTIS
Provider First Name:
PRINCESS
Provider Middle Name:
MARIA
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CURTIS
Provider Other First Name:
MARIA PRINCESA
Provider Other Middle Name:
POBRE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1063678944
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/04/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 WORLDS FAIR DR STE 2400
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SOMERSET
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08873-1344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
732-235-7765
Provider Business Mailing Address Fax Number:
973-498-0512

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 WORLDS FAIR DR STE 2400
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SOMERSET
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08873
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
732-235-7765
Provider Business Practice Location Address Fax Number:
732-235-6568
Provider Enumeration Date:
07/31/2008

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: 207NP0225X , with the licence number:  25MA09796700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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