1598995540 NPI number — DEL SOL OUTPATIENT MEDICAL CENTER CORP

Table of content: DR. RACHEL CHRISTINE DALAL D.O. (NPI 1023392396)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598995540 NPI number — DEL SOL OUTPATIENT MEDICAL CENTER CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEL SOL OUTPATIENT MEDICAL CENTER 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:
1598995540
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9001 CASHEW DR
Provider Second Line Business Mailing Address:
STE 900
Provider Business Mailing Address City Name:
EL PASO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
79907-2967
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-301-5445
Provider Business Mailing Address Fax Number:
305-388-4380

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9001 CASHEW DR
Provider Second Line Business Practice Location Address:
STE 900
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79907-2967
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-301-5445
Provider Business Practice Location Address Fax Number:
305-388-4380
Provider Enumeration Date:
07/23/2009

Additional Information

Authorized Official

Authorized Official Last Name:
MACHADO
Authorized Official First Name:
ALFREDO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
786-301-5445

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  ME86567 , 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)





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