1669823258 NPI number — SYLVIA E. JOSEPHY M.D., MSC

Table of content: SYLVIA E. JOSEPHY M.D., MSC (NPI 1669823258)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669823258 NPI number — SYLVIA E. JOSEPHY M.D., MSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JOSEPHY
Provider First Name:
SYLVIA
Provider Middle Name:
E.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D., MSC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JOSEPHY HERNANDEZ
Provider Other First Name:
SYLYIA
Provider Other Middle Name:
ELENA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1669823258
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/19/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
APARTADO 1181-2100
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GUADALUPE
Provider Business Mailing Address State Name:
SAN JOSE
Provider Business Mailing Address Postal Code:
10801
Provider Business Mailing Address Country Code:
CR
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
DR. MAXIMILIANO PERALTA HOSPITAL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CARTAGO
Provider Business Practice Location Address State Name:
CARTAGO
Provider Business Practice Location Address Postal Code:
30101
Provider Business Practice Location Address Country Code:
CR
Provider Business Practice Location Address Telephone Number:
506-255-0199
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2016

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: 2084B0040X , with the licence number:  282808 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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