Marabella Alhambra Md S.C. in Rockford - Specialist

Marabella Alhambra Md S.C. - NPI 1619018520

Marabella Alhambra Md S.C. is a Specialist in Rockford, Illinois. Marabella Alhambra Md S.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Marabella Alhambra Md S.C. is 1619018520. The last update date is 2020-08-22.

Marabella Alhambra Md S.C.'s current location address is 4775 Manhattan Dr, Rockford, Illinois. You can contact this provider via phone number 8153974600. The mailing address for Marabella Alhambra Md S.C. is 4775 Manhattan Dr, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Marabella Alhambra Md S.C.
Address 4775 Manhattan Dr, Rockford, Illinois
Phone Number 8153974600
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS D
Authorized Official Name Abalos Manolo
Telephone Number 8153974600

NPI Number Detail

NPI Number 1619018520
Provider Enumeration Date 2007-02-12
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4775 Manhattan Dr
City Rockford
State Illinois (IL)
Post Code 611082264
Phone Number 8153974600
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Marabella Alhambra Md S.C.

What is the unique 10-digit identifier code assigned to Marabella Alhambra Md S.C. by the Centers for Medicare & Medicaid Services?

The Marabella Alhambra Md S.C. has been issued the NPI (National Provider Identifier) 1619018520 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Marabella Alhambra Md S.C. is physically located?

The Marabella Alhambra Md S.C. is physically situated at the following address: 4775 Manhattan Dr, Rockford, IL, 611082264.

What is Marabella Alhambra Md S.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Marabella Alhambra Md S.C.'s area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1619018520 to Marabella Alhambra Md S.C.?

The Centers for Medicare & Medicaid Services originally issued the 1619018520 to Marabella Alhambra Md S.C. on 2007-02-12.

As of what date was the information pertaining to Marabella Alhambra Md S.C., such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Marabella Alhambra Md S.C., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.

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