Erwin Tamayo Carracedo in South San Francisco - General Practice
Erwin Tamayo Carracedo - NPI 1164625075
Erwin Tamayo Carracedo is a General Practice in South San Francisco, California. Erwin Tamayo Carracedo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Erwin Tamayo Carracedo is 1164625075. The last update date is 2010-03-29.
Erwin Tamayo Carracedo's current location address is 3540 Callan Blvd., South San Francisco, California. You can contact this provider via phone number 6507429092 and fax number 6507429093. The mailing address for Erwin Tamayo Carracedo is 3540 Callan Blvd., South San Francisco, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erwin Tamayo Carracedo |
|---|---|
| Address | 3540 Callan Blvd., South San Francisco, California |
| Phone Number | 6507429092 |
| Fax Number | 6507429093 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1164625075 |
|---|---|
| Provider Enumeration Date | 2007-06-07 |
| Last Updated Date | 2010-03-29 |
Provider Mailing Address Detail
| Address | 3540 Callan Blvd. |
|---|---|
| City | South San Francisco |
| State | California (CA) |
| Post Code | 94080 |
| Phone Number | 6507429092 |
| Fax Number | 6507429093 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 40417 |
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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 unique 10-digit identifier code assigned to Erwin Tamayo Carracedo by the Centers for Medicare & Medicaid Services?
The Erwin Tamayo Carracedo has been issued the NPI (National Provider Identifier) 1164625075 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Erwin Tamayo Carracedo?
The Erwin Tamayo Carracedo is situated at 3540 Callan Blvd., in the city of South San Francisco, state of CA, with the zip code 94080.
What is Erwin Tamayo Carracedo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Erwin Tamayo Carracedo's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Erwin Tamayo Carracedo receive its 1164625075 assignment from the Centers for Medicare & Medicaid Services?
The Erwin Tamayo Carracedo was assigned its 1164625075 by the Centers for Medicare & Medicaid Services on 2007-06-07.
As of what date was the information regarding Erwin Tamayo Carracedo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Erwin Tamayo Carracedo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-03-29.
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