1497848113 NPI number — DR. RUTH MARIA VERGARA DDS

Table of content: DR. RUTH MARIA VERGARA DDS (NPI 1497848113)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497848113 NPI number — DR. RUTH MARIA VERGARA DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
VERGARA
Provider First Name:
RUTH
Provider Middle Name:
MARIA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
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:
1497848113
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/29/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6000 TURKEY LAKE ROAD
Provider Second Line Business Mailing Address:
SUITE 109
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32819
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-248-0484
Provider Business Mailing Address Fax Number:
407-248-2938

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6000 TURKEY LAKE ROAD
Provider Second Line Business Practice Location Address:
SUITE 109
Provider Business Practice Location Address City Name:
ORLANDO
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32819
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-248-0484
Provider Business Practice Location Address Fax Number:
407-248-2938
Provider Enumeration Date:
10/02/2006

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:  DN15758 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 110413000 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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