1962651497 NPI number — CCALA CORP

Table of content: ALAN ROLAND MARKOWITZ MD (NPI 1326039371)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1962651497 NPI number — CCALA CORP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CCALA CORP
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:
6
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:
1962651497
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
VILLA CAPARRA, 26 CALLE J
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00966-2202
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-413-4375
Provider Business Mailing Address Fax Number:
787-783-5007

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 AVE FD ROOSEVELT
Provider Second Line Business Practice Location Address:
SUITE #301
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918-2103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-413-4375
Provider Business Practice Location Address Fax Number:
787-783-5007
Provider Enumeration Date:
09/09/2008

Additional Information

Authorized Official

Authorized Official Last Name:
RAMIREZ-BUSIGO
Authorized Official First Name:
ERICK
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-413-4375

Provider Taxonomy Codes

  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com