Iban Roel Moreno in Chula Vista - General Practice
Iban Roel Moreno - NPI 1265582258
Iban Roel Moreno is a General Practice in Chula Vista, California. Iban Roel Moreno practices all healthcare services and medical treatments related to General Practice. The NPI Number for Iban Roel Moreno is 1265582258. The last update date is 2007-07-08.
Iban Roel Moreno's current location address is 1101 Broadway, Chula Vista, California. You can contact this provider via phone number 6194228891. The mailing address for Iban Roel Moreno is 1101 Broadway, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Iban Roel Moreno |
|---|---|
| Address | 1101 Broadway, Chula Vista, California |
| Phone Number | 6194228891 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1265582258 |
|---|---|
| Provider Enumeration Date | 2007-01-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1101 Broadway |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919112706 |
| Phone Number | 6194228891 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 49605 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the Iban Roel Moreno's 1265582258?
The Iban Roel Moreno's NPI (National Provider Identifier) Number is 1265582258. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Iban Roel Moreno?
The Iban Roel Moreno is physically situated at 1101 Broadway, in the city of Chula Vista, state of CA, with the postal code 919112706.
What is Iban Roel Moreno's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Iban Roel Moreno is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1265582258 to Iban Roel Moreno?
The Centers for Medicare & Medicaid Services assigned the 1265582258 to Iban Roel Moreno on 2007-01-11.
When was the information regarding Iban Roel Moreno, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Iban Roel Moreno, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.