1336206630 NPI number — DR. RAQUEL B. MAZER-GURMENDI DMD

Table of content: DR. RAQUEL B. MAZER-GURMENDI DMD (NPI 1336206630)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1336206630 NPI number — DR. RAQUEL B. MAZER-GURMENDI DMD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MAZER-GURMENDI
Provider First Name:
RAQUEL
Provider Middle Name:
B.
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD
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:
1336206630
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
703 COLONY CIRCLE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35209-5557
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-934-1022
Provider Business Mailing Address Fax Number:
205-975-2883

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1919 7TH AVE S
Provider Second Line Business Practice Location Address:
SDB-BOX 82
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35294-0007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-934-2340
Provider Business Practice Location Address Fax Number:
205-934-7899
Provider Enumeration Date:
01/03/2007

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: 1223G0001X , with the licence number:  4806 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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