1730272543 NPI number — RALPH CARPINTEYRO MD

Table of content: RALPH CARPINTEYRO MD (NPI 1730272543)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730272543 NPI number — RALPH CARPINTEYRO MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARPINTEYRO
Provider First Name:
RALPH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1730272543
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5447
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
UVALDE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78802-5447
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
830-278-6681
Provider Business Mailing Address Fax Number:
830-591-0457

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1042 GARNER FIELD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
UVALDE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78801-4832
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-278-6681
Provider Business Practice Location Address Fax Number:
830-591-0457
Provider Enumeration Date:
10/02/2006

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: 261QR1300X , with the licence number:  G2590 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207R00000X , with the licence number: G2590 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 00FG03 . This is a "MEDICARE PART B" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 122943704 . This is a "MEDICAID HOSPITAL" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 063412301 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1013185289 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 122943704 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1730272543 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".




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