1184130270 NPI number — IGNACIO RAUL RODRIGUEZ BALCAZAR

Table of content: IGNACIO RAUL RODRIGUEZ BALCAZAR (NPI 1184130270)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184130270 NPI number — IGNACIO RAUL RODRIGUEZ BALCAZAR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RODRIGUEZ BALCAZAR
Provider First Name:
IGNACIO
Provider Middle Name:
RAUL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
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:
1184130270
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/27/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14307 SW 96TH ST APT 205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33186-1310
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-732-0508
Provider Business Mailing Address Fax Number:
786-842-3815

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14307 SW 96TH ST APT 205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33186-1310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-732-0508
Provider Business Practice Location Address Fax Number:
786-842-3815
Provider Enumeration Date:
12/27/2017

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: 106S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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