1710142203 NPI number — MRS. TATIANA VONHERTWIG FERNANDES OLIVEIRA MD

Table of content: MRS. TATIANA VONHERTWIG FERNANDES OLIVEIRA MD (NPI 1710142203)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710142203 NPI number — MRS. TATIANA VONHERTWIG FERNANDES OLIVEIRA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OLIVEIRA
Provider First Name:
TATIANA
Provider Middle Name:
VONHERTWIG FERNANDES
Provider Name Prefix Text:
MRS.
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:
1710142203
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
55 PEDRO MURARO STREET
Provider Second Line Business Mailing Address:
5
Provider Business Mailing Address City Name:
CURITIBA
Provider Business Mailing Address State Name:
PANAMA
Provider Business Mailing Address Postal Code:
82030- 620
Provider Business Mailing Address Country Code:
BR
Provider Business Mailing Address Telephone Number:
554133364685
Provider Business Mailing Address Fax Number:
554133364685

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
SAN JOSE #300
Provider Second Line Business Practice Location Address:
HOSPITAL UNIVERSITARIO CAGURU
Provider Business Practice Location Address City Name:
CURITIBA
Provider Business Practice Location Address State Name:
PARANA
Provider Business Practice Location Address Postal Code:
80050- 350
Provider Business Practice Location Address Country Code:
BR
Provider Business Practice Location Address Telephone Number:
554132713000
Provider Business Practice Location Address Fax Number:
554130295131
Provider Enumeration Date:
07/23/2008

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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