1275105231 NPI number — NESTOR RAFAEL ROCHA PALOMERA DSHS-MED. INTERPRETE

Table of content: NESTOR RAFAEL ROCHA PALOMERA DSHS-MED. INTERPRETE (NPI 1275105231)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275105231 NPI number — NESTOR RAFAEL ROCHA PALOMERA DSHS-MED. INTERPRETE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROCHA PALOMERA
Provider First Name:
NESTOR
Provider Middle Name:
RAFAEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DSHS-MED. INTERPRETE
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:
1275105231
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/10/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15914 44TH AVE W APT N205
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LYNNWOOD
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98087-8934
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-229-0121
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
15914 44TH AVE W APT N205
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LYNNWOOD
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98087-8934
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-229-0121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2021

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: 171R00000X , with the licence number:  MC53396 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com