1477695625 NPI number — ADRIAN NOYA CORP

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 1477695625 NPI number — ADRIAN NOYA CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ADRIAN NOYA 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:
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:
1477695625
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/22/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16300 NE 19TH AVE
Provider Second Line Business Mailing Address:
SUITE 239
Provider Business Mailing Address City Name:
NORTH MIAMI BEACH
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33162-4883
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
305-947-4631
Provider Business Mailing Address Fax Number:
305-947-4632

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16300 NE 19TH AVE
Provider Second Line Business Practice Location Address:
SUITE 239
Provider Business Practice Location Address City Name:
NORTH MIAMI BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33162-4883
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-947-4631
Provider Business Practice Location Address Fax Number:
305-947-4632
Provider Enumeration Date:
02/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NOYA
Authorized Official First Name:
ADRIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
305-947-4631

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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