1760495345 NPI number — DR. CESAR F PINEIRO PEREZ M.D

Table of content: DR. CESAR F PINEIRO PEREZ M.D (NPI 1760495345)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760495345 NPI number — DR. CESAR F PINEIRO PEREZ M.D

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PINEIRO PEREZ
Provider First Name:
CESAR
Provider Middle Name:
F
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D
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:
1760495345
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/30/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
96 PLAZA CARMEN
Provider Second Line Business Mailing Address:
ESTANCIAS DE CERRO GORDO
Provider Business Mailing Address City Name:
VEGA ALTA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00692-9127
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-308-3566
Provider Business Mailing Address Fax Number:
787-915-7386

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
96 PLAZA CARMEN
Provider Second Line Business Practice Location Address:
ESTANCIAS DE CERRO GORDO
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692-9127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-308-3566
Provider Business Practice Location Address Fax Number:
787-915-7386
Provider Enumeration Date:
08/14/2006

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: 208D00000X , with the licence number:  14388 , 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)

  • Identifier: 101126 . This is a "CRUZ AZUL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 21097 . This is a "TRIPLE S OPTIMO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40043B . This is a "PREFERRED MEDICARE MUCHO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: A458 . This is a "FIRST MEDICAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 21097 . This is a "TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40043B . This is a "PREFERRED MEDICARE CHOICE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6120224 . This is a "HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 100263W . This is a "MEDICARE MUCHO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com