Rene S Mediavillo in Ozone Park - Specialist
Rene S Mediavillo - NPI 1376622019
Rene S Mediavillo is a Specialist in Ozone Park, New York. Rene S Mediavillo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Rene S Mediavillo is 1376622019. The last update date is 2007-07-09.
Rene S Mediavillo's current location address is 9202 Liberty Ave, Ozone Park, New York. You can contact this provider via phone number 7188359729 and fax number 7189259817. The mailing address for Rene S Mediavillo is 9202 Liberty Ave, Ozone Park, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rene S Mediavillo |
|---|---|
| Address | 9202 Liberty Ave, Ozone Park, New York |
| Phone Number | 7188359729 |
| Fax Number | 7189259817 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1376622019 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 9202 Liberty Ave |
|---|---|
| City | Ozone Park |
| State | New York (NY) |
| Post Code | 114171526 |
| Phone Number | 7188359729 |
| Fax Number | 7189259817 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 136585 |
|
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 136585 | NY | LICENSE | |
| 589464 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Rene S Mediavillo by the Centers for Medicare & Medicaid Services (CMS)?
The Rene S Mediavillo has been assigned the NPI (National Provider Identifier) 1376622019. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Rene S Mediavillo is located?
The Rene S Mediavillo is situated at the following address: 9202 Liberty Ave, Ozone Park, NY, 114171526.
What is Rene S Mediavillo's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Rene S Mediavillo's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date was the 1376622019 assigned to Rene S Mediavillo?
The Rene S Mediavillo was issued its 1376622019 on 2006-11-03, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Rene S Mediavillo, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Rene S Mediavillo, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.