1649319773 NPI number — DR. PATRICIA LOYDA MORALES M.D.

Table of content: DR. PATRICIA LOYDA MORALES M.D. (NPI 1649319773)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1649319773 NPI number — DR. PATRICIA LOYDA MORALES M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MORALES
Provider First Name:
PATRICIA
Provider Middle Name:
LOYDA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WRIGHT
Provider Other First Name:
PATRICIA
Provider Other Middle Name:
MORALES
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
M.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1649319773
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
330 E LIBERTY ST STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RENO
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89501-2221
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-398-3601
Provider Business Mailing Address Fax Number:
775-329-9921

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
330 EAST LIBERTY STREET
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
RENO
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89501-2221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-777-1510
Provider Business Practice Location Address Fax Number:
775-777-8783
Provider Enumeration Date:
02/05/2007

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: 207X00000X , with the licence number:  5570 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 002004024 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com