1811912124 NPI number — DR. MARGARITA RODRIGUEZ ESCOBAR MD

Table of content: DR. MARGARITA RODRIGUEZ ESCOBAR MD (NPI 1811912124)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811912124 NPI number — DR. MARGARITA RODRIGUEZ ESCOBAR MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RODRIGUEZ ESCOBAR
Provider First Name:
MARGARITA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
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:
1811912124
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/27/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 642117
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OMAHA
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68164-8117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-717-4380
Provider Business Mailing Address Fax Number:
402-717-4319

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4951 CENTER ST STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OMAHA
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68106-3252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-558-2500
Provider Business Practice Location Address Fax Number:
402-558-5522
Provider Enumeration Date:
07/13/2006

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: 207Q00000X , with the licence number:  19931 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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