Raquel Miranda Portugal in Chicago - General Practice

Raquel Miranda Portugal - NPI 1598821225

Raquel Miranda Portugal is a General Practice in Chicago, Illinois. Raquel Miranda Portugal practices all healthcare services and medical treatments related to General Practice. The NPI Number for Raquel Miranda Portugal is 1598821225. The last update date is 2007-07-08.

Raquel Miranda Portugal's current location address is 2424 W Fullerton Ave, Chicago, Illinois. You can contact this provider via phone number 7733848823 and fax number 7733848811. The mailing address for Raquel Miranda Portugal is 2424 W Fullerton Ave, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Raquel Miranda Portugal
Address 2424 W Fullerton Ave, Chicago, Illinois
Phone Number 7733848823
Fax Number 7733848811
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1598821225
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2424 W Fullerton Ave
City Chicago
State Illinois (IL)
Post Code 606473155
Phone Number 7733848823
Fax Number 7733848811

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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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FAQs about Raquel Miranda Portugal

What is the unique provider identifier assigned to Raquel Miranda Portugal?

The Raquel Miranda Portugal has been issued the NPI (National Provider Identifier) 1598821225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Raquel Miranda Portugal's facilities are situated?

The facilities of Raquel Miranda Portugal are physically located at the following address: 2424 W Fullerton Ave, Chicago, IL, 606473155.

What is Raquel Miranda Portugal's specialized field of practice, and what is the corresponding taxonomy classification code?

The Raquel Miranda Portugal'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 Centers for Medicare & Medicaid Services issue the 1598821225 to Raquel Miranda Portugal?

The Raquel Miranda Portugal received its 1598821225 assignment from the Centers for Medicare & Medicaid Services on 2006-12-28.

As of what date were the details related to Raquel Miranda Portugal most recently updated or revised?

The information pertaining to Raquel Miranda Portugal, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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