1982919767 NPI number — MRS. ALEXANDRA ELIBETH TURCIOS ARNP

Table of content: MRS. ALEXANDRA ELIBETH TURCIOS ARNP (NPI 1982919767)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982919767 NPI number — MRS. ALEXANDRA ELIBETH TURCIOS ARNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TURCIOS
Provider First Name:
ALEXANDRA
Provider Middle Name:
ELIBETH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
ARNP
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:
1982919767
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/20/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 198054
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30384-8054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
786-596-3876
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8950 N KENDALL DR
Provider Second Line Business Practice Location Address:
SUITE 407W
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33176-2144
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
786-596-3876
Provider Business Practice Location Address Fax Number:
786-533-9989
Provider Enumeration Date:
08/17/2010

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: 363L00000X , with the licence number:  APRN9381309 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LA2100X , with the licence number: 9381309 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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