1528285285 NPI number — MR. ALFREDO DE CASTRO SODRINHO MASTER DEGREE

Table of content: MR. ALFREDO DE CASTRO SODRINHO MASTER DEGREE (NPI 1528285285)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528285285 NPI number — MR. ALFREDO DE CASTRO SODRINHO MASTER DEGREE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SODRINHO
Provider First Name:
ALFREDO
Provider Middle Name:
DE CASTRO
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MASTER DEGREE
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ARAUJO
Provider Other First Name:
ANTARDHAN
Provider Other Middle Name:
DAS
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
TEACHER
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1528285285
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
14000 NW 154TH AVE
Provider Second Line Business Mailing Address:
APT 05
Provider Business Mailing Address City Name:
ALACHUA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32615-8265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
386-418-1285
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
14000 NW 154TH AVE
Provider Second Line Business Practice Location Address:
APT 05
Provider Business Practice Location Address City Name:
ALACHUA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32615-8265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
386-418-1285
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/20/2007

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: 171W00000X , with the licence number:  17W00000X , 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: C4117 . This is a "LMT-CLAIM FOR COVERED SER" identifier , issued by the state of ( FL ) . This identifiers is of the category "OTHER".




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