Jose L Madara Jr M D Pa in Booneville - Surgery
Jose L Madara Jr M D Pa - NPI 1649275736
Jose L Madara Jr M D Pa is a Surgery in Booneville, Mississippi. Jose L Madara Jr M D Pa practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jose L Madara Jr M D Pa is 1649275736. The last update date is 2007-08-14.
Jose L Madara Jr M D Pa's current location address is 102 Hotel St, Booneville, Mississippi. You can contact this provider via phone number 6627287711 and fax number 6627287713. The mailing address for Jose L Madara Jr M D Pa is 102 Hotel St, Booneville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jose L Madara Jr M D Pa |
|---|---|
| Address | 102 Hotel St, Booneville, Mississippi |
| Phone Number | 6627287711 |
| Fax Number | 6627287713 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Madara Las Llagas Jose |
| Credentials | M.D. |
| Telephone Number | 6627287711 |
NPI Number Detail
| NPI Number | 1649275736 |
|---|---|
| Provider Enumeration Date | 2005-06-16 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 102 Hotel St |
|---|---|
| City | Booneville |
| State | Mississippi (MS) |
| Post Code | 3882933030 |
| Phone Number | 6627287711 |
| Fax Number | 6627287713 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 7928 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 16361 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jose L Madara Jr M D Pa by the Centers for Medicare & Medicaid Services?
The Jose L Madara Jr M D Pa has been assigned the NPI (National Provider Identifier) 1649275736. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jose L Madara Jr M D Pa is physically located?
The Jose L Madara Jr M D Pa is physically situated at the following address: 102 Hotel St, Booneville, MS, 3882933030.
What is the Jose L Madara Jr M D Pa's specialty and taxonomy code?
The Jose L Madara Jr M D Pa's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
When did Jose L Madara Jr M D Pa receive its 1649275736 assignment?
The Jose L Madara Jr M D Pa was assigned its 1649275736 on 2005-06-16, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Jose L Madara Jr M D Pa most recently updated or revised?
The details related to Jose L Madara Jr M D Pa, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-14.