Juan Israel Gaitan Rueda in Fayetteville - Critical Care Medicine
Juan Israel Gaitan Rueda - NPI 1720241094
Juan Israel Gaitan Rueda is a Critical Care Medicine in Fayetteville, Georgia. Juan Israel Gaitan Rueda practices all healthcare services and medical treatments related to Critical Care Medicine. The NPI Number for Juan Israel Gaitan Rueda is 1720241094. The last update date is 2017-01-02.
Juan Israel Gaitan Rueda's current location address is 1255 Highway 54 W, Fayetteville, Georgia. You can contact this provider via phone number 4043673014. The mailing address for Juan Israel Gaitan Rueda is 1255 Highway 54 W, Fayetteville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Israel Gaitan Rueda |
|---|---|
| Address | 1255 Highway 54 W, Fayetteville, Georgia |
| Phone Number | 4043673014 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720241094 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2017-01-02 |
Provider Mailing Address Detail
| Address | 1255 Highway 54 W |
|---|---|
| City | Fayetteville |
| State | Georgia (GA) |
| Post Code | 302144526 |
| Phone Number | 4043673014 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Critical Care Medicine |
|---|---|
| Taxonomy | 207Rc0200X |
| Licence No | 76716 |
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Definition: An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physicia |
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What is the unique 10-digit identification code assigned to Juan Israel Gaitan Rueda by the Centers for Medicare & Medicaid Services?
The Juan Israel Gaitan Rueda has been issued the NPI (National Provider Identifier) 1720241094, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Juan Israel Gaitan Rueda located?
The Juan Israel Gaitan Rueda is located at 1255 Highway 54 W, Fayetteville, GA 302144526.
What is the area of specialization for Juan Israel Gaitan Rueda, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Juan Israel Gaitan Rueda is Critical Care Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Rc0200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720241094 to Juan Israel Gaitan Rueda?
The Centers for Medicare & Medicaid Services assigned the 1720241094 to Juan Israel Gaitan Rueda on 2008-07-08.
As of what date were the details related to Juan Israel Gaitan Rueda most recently updated or revised?
The information pertaining to Juan Israel Gaitan Rueda, including its address, specialty, and other relevant details, was last updated or revised on 2017-01-02.