1740221704 NPI number — LILIA DE LA RIVA SUPPORT COORDINATOR

Table of content: LILIA DE LA RIVA SUPPORT COORDINATOR (NPI 1740221704)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740221704 NPI number — LILIA DE LA RIVA SUPPORT COORDINATOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DE LA RIVA
Provider First Name:
LILIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
SUPPORT COORDINATOR
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:
1740221704
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/26/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2216 GRANGER AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KISSIMMEE
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34746-2204
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-301-0680
Provider Business Mailing Address Fax Number:
407-933-4225

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2216 GRANGER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KISSIMMEE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34746-2204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-301-0680
Provider Business Practice Location Address Fax Number:
407-933-4225
Provider Enumeration Date:
06/09/2006

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: 104100000X , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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