1316232036 NPI number — DR. ANN MICHELLE RIGALT M.D.

Table of content: DR. ANN MICHELLE RIGALT M.D. (NPI 1316232036)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316232036 NPI number — DR. ANN MICHELLE RIGALT M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIGALT
Provider First Name:
ANN
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

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:
1316232036
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/10/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 661447
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI SPRINGS
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33266-1447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-413-4021
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
BLVD. VISTA HERMOSA 25- 19 ZONA 15 VISTA HERMOSA 1
Provider Second Line Business Practice Location Address:
EDIFICIO MULTIMEDICA, NIVEL 10, OF # 1007
Provider Business Practice Location Address City Name:
GUATEMALA
Provider Business Practice Location Address State Name:
GUATEMALA
Provider Business Practice Location Address Postal Code:
01015
Provider Business Practice Location Address Country Code:
GT
Provider Business Practice Location Address Telephone Number:
01150223857753
Provider Business Practice Location Address Fax Number:
01150223857754
Provider Enumeration Date:
06/10/2011

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: 207KA0200X , with the licence number:  A74023 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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