1710959952 NPI number — HILARY ALMEIDA MD PA

Table of content: (NPI 1710959952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710959952 NPI number — HILARY ALMEIDA MD PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HILARY ALMEIDA MD PA
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:
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:
1710959952
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/06/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
222 E RIDGE RD
Provider Second Line Business Mailing Address:
STE. 116
Provider Business Mailing Address City Name:
MCALLEN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78503-1251
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
956-661-9111
Provider Business Mailing Address Fax Number:
956-661-9158

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
222 E RIDGE RD
Provider Second Line Business Practice Location Address:
STE. 116
Provider Business Practice Location Address City Name:
MCALLEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78503-1251
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-661-9111
Provider Business Practice Location Address Fax Number:
956-661-9158
Provider Enumeration Date:
02/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ALMEIDA
Authorized Official First Name:
HILARY
Authorized Official Middle Name:
F
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
956-661-9111

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0001X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0059QN . This is a "BCBS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 177106502 . This is a "CSHCN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 177106501 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: F46984 . This is a "UPIN" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: DO0518 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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