Jose Rafael Jerez in New York - Pediatric Emergency Medicine
Jose Rafael Jerez - NPI 1174582159
Jose Rafael Jerez is a Pediatric Emergency Medicine in New York, New York. Jose Rafael Jerez practices all healthcare services and medical treatments related to Pediatric Emergency Medicine. The NPI Number for Jose Rafael Jerez is 1174582159. The last update date is 2013-01-03.
Jose Rafael Jerez's current location address is 3959 Broadway, New York, New York. You can contact this provider via phone number 2123047250 and fax number 2125441974. The mailing address for Jose Rafael Jerez is 3959 Broadway, New York, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jose Rafael Jerez |
|---|---|
| Address | 3959 Broadway, New York, New York |
| Phone Number | 2123047250 |
| Fax Number | 2125441974 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1174582159 |
|---|---|
| Provider Enumeration Date | 2006-03-20 |
| Last Updated Date | 2013-01-03 |
Provider Mailing Address Detail
| Address | 3959 Broadway |
|---|---|
| City | New York |
| State | New York (NY) |
| Post Code | 100321559 |
| Phone Number | 2123047250 |
| Fax Number | 2125441974 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Emergency Medicine |
|---|---|
| Taxonomy | 2080P0204X |
| Licence No | 159415 |
|
Definition: A pediatrician who has special qualifications to manage emergencies in infants and children. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 844899 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jose Rafael Jerez by the Centers for Medicare & Medicaid Services (CMS)?
The Jose Rafael Jerez has been assigned the NPI (National Provider Identifier) 1174582159. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jose Rafael Jerez?
The Jose Rafael Jerez is situated at 3959 Broadway, in the city of New York, state of NY, with the zip code 100321559.
What is Jose Rafael Jerez's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jose Rafael Jerez's specialized field of practice is Pediatric Emergency Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080P0204X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1174582159 to Jose Rafael Jerez?
The Centers for Medicare & Medicaid Services originally issued the 1174582159 to Jose Rafael Jerez on 2006-03-20.
When was the information regarding Jose Rafael Jerez most recently updated?
The details pertaining to the Jose Rafael Jerez, including its address, specialty, and other relevant information, were last refreshed on 2013-01-03.