1447915004 NPI number — VA FOREIGN MEDICAL SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447915004 NPI number — VA FOREIGN MEDICAL SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VA FOREIGN MEDICAL SERVICES
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:
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:
1447915004
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
SDQ 647640 2250 N W 114TH AVE UNIT 1A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33192-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
737-781-4120
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE EL MORROW, ESQ. PRESIDENTE VASQUEZE.#56
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PUERTO PLATA
Provider Business Practice Location Address State Name:
DOMINICAN RTEPUBLIC
Provider Business Practice Location Address Postal Code:
57021
Provider Business Practice Location Address Country Code:
DO
Provider Business Practice Location Address Telephone Number:
809-320-7735
Provider Business Practice Location Address Fax Number:
980-216-6020
Provider Enumeration Date:
11/08/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
MARTIN
Authorized Official First Name:
SCOTT
Authorized Official Middle Name:
JAMES
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
809-320-7735

Provider Taxonomy Codes

  • Taxonomy code: 2251H1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QC1500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 302F00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 3336C0002X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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