1689628588 NPI number — DAUILMAR FRANCO GINORO

Table of content: (NPI 1689628588)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689628588 NPI number — DAUILMAR FRANCO GINORO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAUILMAR FRANCO GINORO
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:
6
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:
1689628588
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
71 CALLE PH HERNANDEZ
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HATILLO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00659-2007
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-898-4020
Provider Business Mailing Address Fax Number:
787-820-5927

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
71 CALLE PH HERNANDEZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HATILLO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00659-2007
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-898-4020
Provider Business Practice Location Address Fax Number:
787-820-5927
Provider Enumeration Date:
05/22/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRANCO GINORIO
Authorized Official First Name:
DAWILMAR
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
787-898-4020

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  769 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 584656974 . This is a "COSVIMED" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 584656974 . This is a "MAPFRE LIFE INSURANCE CO." identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 584656974 . This is a "MEDICAL CARD SYSTEM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 20051 . This is a "PREFERRED MEDICARE CHOICE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 30689 . This is a "TRIPLE-S, INC." identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 584656974 . This is a "INTERNATIONAL MEDICAL CAR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 584656974 . This is a "PALIC PROVIDER NETWORK" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6590031 . This is a "HUMANA INSURANCE OF PR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 051364 . This is a "LA CRUZ AZUL DE PR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 400556 . This is a "PREFERRED HEALTH INS. CO." identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 584656974 . This is a "CIGNA PREFERRED PLAN" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 584656974 . This is a "TRICARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 800361 . This is a "MMM HEALTHCARE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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