1982684239 NPI number — MERITER HEALTH ENTERPRISES, INC

Table of content: DR. MARIA ESPERANZA PEREZ DO (NPI 1346401981)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982684239 NPI number — MERITER HEALTH ENTERPRISES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MERITER HEALTH ENTERPRISES, INC
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:
1982684239
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/12/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 259993
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MADISON
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53725-9993
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
608-417-3700
Provider Business Mailing Address Fax Number:
608-417-3766

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2180 W BELTLINE HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MADISON
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53713-2340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
608-417-3700
Provider Business Practice Location Address Fax Number:
608-417-3766
Provider Enumeration Date:
01/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SCHULZ
Authorized Official First Name:
STACEY
Authorized Official Middle Name:
L.
Authorized Official Title or Position:
BILLING MANAGER
Authorized Official Telephone Number:
608-417-3758

Provider Taxonomy Codes

  • Taxonomy code: 251F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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