1467504324 NPI number — HAMID CORP

Table of content: DR. ANTHONY MICHAEL SANTARE III D.D.S. (NPI 1033236807)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467504324 NPI number — HAMID CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAMID CORP
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:
6
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:
1467504324
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
426 AVE BARBOSA
Provider Second Line Business Mailing Address:
HATO REY
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00917-4306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-763-3185
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
426 AVE BARBOSA
Provider Second Line Business Practice Location Address:
HATO REY
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917-4306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-763-3185
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/18/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HAMID
Authorized Official First Name:
HASSAN
Authorized Official Middle Name:
SABRI
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-763-3185

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4012908 . This is a "PHARMACY NO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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