1225342645 NPI number — DR. WILLIAM A FLECHA PHD, MPH

Table of content: DR. WILLIAM A FLECHA PHD, MPH (NPI 1225342645)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225342645 NPI number — DR. WILLIAM A FLECHA PHD, MPH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLECHA
Provider First Name:
WILLIAM
Provider Middle Name:
A
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD, MPH
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:
1225342645
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3151
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANATI
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00674-3151
Provider Business Mailing Address Country Code:
US
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:
110 CALLE BORINQUEN
Provider Second Line Business Practice Location Address:
SUITE 2-1
Provider Business Practice Location Address City Name:
TRUJILLO ALTO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00976-5981
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
123-123-1234
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/27/2010

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: 103TC0700X , with the licence number:  4593 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 103T00000X , with the licence number: 4593 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4869 . This is a "TRIPLE S ADVANTAGE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 4869 . This is a "APS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "MMM-PMC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "OPTIMIND" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "TRIPLE-S FEDERAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "TRICARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "MCS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "FHC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "MAPFRE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4869 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "FIRST MEDICAL INTERNATIONAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "OPTIMINE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1225342645 . This is a "PAN AMERICAN LIFE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4869 . This is a "AMERICAN HEALTH MEDICARE" identifier . This identifiers is of the category "OTHER".




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