1730276254 NPI number — MRS. ANNIE-LEE TIRADO MPT, MS, CSCS

Table of content: MRS. ANNIE-LEE TIRADO MPT, MS, CSCS (NPI 1730276254)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730276254 NPI number — MRS. ANNIE-LEE TIRADO MPT, MS, CSCS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TIRADO
Provider First Name:
ANNIE-LEE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MPT, MS, CSCS
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:
1730276254
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3635
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-3635
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-806-3438
Provider Business Mailing Address Fax Number:
787-833-4570

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
RD 106 FLOR DEL VALLE
Provider Second Line Business Practice Location Address:
665 AMAPOLA ST
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-806-3438
Provider Business Practice Location Address Fax Number:
787-833-4570
Provider Enumeration Date:
10/06/2006

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: 225100000X , with the licence number:  001296 , 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)





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