1316735392 NPI number — BAJA CARE LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316735392 NPI number — BAJA CARE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BAJA CARE LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1316735392
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 39192
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORT LAUDERDALE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33339-9192
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:
HEROICO COLEGIO MILITAR SN, CENTRO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TODOS LOS SANTOS
Provider Business Practice Location Address State Name:
BAJA CALIFORNIA SUR
Provider Business Practice Location Address Postal Code:
23300
Provider Business Practice Location Address Country Code:
MX
Provider Business Practice Location Address Telephone Number:
612-145-0600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/29/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ROBLES
Authorized Official First Name:
BELEN
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
612-145-0600

Provider Taxonomy Codes

  • Taxonomy code: 282NR1301X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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