1639871866 NPI number — IVAN REGALADO RODRIGUEZ

Table of content: IVAN REGALADO RODRIGUEZ (NPI 1639871866)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639871866 NPI number — IVAN REGALADO RODRIGUEZ

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
REGALADO RODRIGUEZ
Provider First Name:
IVAN
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
REGALADO
Provider Other First Name:
IVAN
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1639871866
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4614 WISTERIA LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FORTSON
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31808-6986
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-882-1728
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4614 WISTERIA LN
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORTSON
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31808-6986
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-882-1728
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/21/2023

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: 363LF0000X , with the licence number:  APRN11025390 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: RN291972 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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