1700680071 NPI number — ASTRID LEONOR LINARES GARCIA MD

Table of content: ASTRID LEONOR LINARES GARCIA MD (NPI 1700680071)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700680071 NPI number — ASTRID LEONOR LINARES GARCIA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
LINARES GARCIA
Provider First Name:
ASTRID
Provider Middle Name:
LEONOR
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

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:
1700680071
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE JUCUARAN ORIENTE CASA #55B
Provider Second Line Business Mailing Address:
RESIDENCIAL BOSQUES DE SANTA ELENA 2
Provider Business Mailing Address City Name:
ANTIGUO CUSCATLAN
Provider Business Mailing Address State Name:
LA LIBERTAD
Provider Business Mailing Address Postal Code:
00000
Provider Business Mailing Address Country Code:
SV
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:
4301 W MARKHAM ST # 530
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LITTLE ROCK
Provider Business Practice Location Address State Name:
AR
Provider Business Practice Location Address Postal Code:
72205-7101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
501-686-8820
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2025

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: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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