1427464999 NPI number — MIGUEL A NOY DOCTOR OF MEDICINE

Table of content: MIGUEL A NOY DOCTOR OF MEDICINE (NPI 1427464999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427464999 NPI number — MIGUEL A NOY DOCTOR OF MEDICINE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NOY
Provider First Name:
MIGUEL
Provider Middle Name:
A
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
DOCTOR OF MEDICINE
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NOY MALAVE
Provider Other First Name:
MIGUEL
Provider Other Middle Name:
A.
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1427464999
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/27/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 362842
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00936-2842
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-751-1312
Provider Business Mailing Address Fax Number:
787-756-0575

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
239 ARTERIAL HOSTOS, CAPITAL CENTER
Provider Second Line Business Practice Location Address:
TORRE 1 SUITE 1-A (SOTANO)
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-756-1312
Provider Business Practice Location Address Fax Number:
787-756-0575
Provider Enumeration Date:
07/06/2014

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ZP0102X , with the licence number: 019865 , 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)





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