Jaime Ponce Portugal, in Chattanooga - Surgery

Jaime Ponce Portugal, - NPI 1245280023

Jaime Ponce Portugal, is a Surgery in Chattanooga, Tennessee. Jaime Ponce Portugal, practices all healthcare services and medical treatments related to Surgery. The NPI Number for Jaime Ponce Portugal, is 1245280023. The last update date is 2022-07-21.

Jaime Ponce Portugal,'s current location address is 7405 Shallowford Road, Chattanooga, Tennessee. You can contact this provider via phone number 7062786403 and fax number 7062780087. The mailing address for Jaime Ponce Portugal, is 7405 Shallowford Road, Chattanooga, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Name Jaime Ponce Portugal,
Address 7405 Shallowford Road, Chattanooga, Tennessee
Phone Number 7062786403
Fax Number 7062780087
Sole Proprietor N
Credentials MEDICAL DO

NPI Number Detail

NPI Number 1245280023
Provider Enumeration Date 2006-05-11
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 7405 Shallowford Road
City Chattanooga
State Tennessee (TN)
Post Code 374210
Phone Number 7062786403
Fax Number 7062780087

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 46635
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;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00815361A GA --

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FAQs about Jaime Ponce Portugal,

What is the unique 10-digit identification code issued to Jaime Ponce Portugal, by the Centers for Medicare & Medicaid Services?

The Jaime Ponce Portugal, has been assigned the NPI (National Provider Identifier) 1245280023 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Jaime Ponce Portugal,'s physical address?

The Jaime Ponce Portugal, is physically located at 7405 Shallowford Road, in the city of Chattanooga, TN, with the postal code 374210.

What is Jaime Ponce Portugal,'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Jaime Ponce Portugal,'s specialized field of practice is Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 208600000X.

On what date did the Jaime Ponce Portugal, receive the assignment of its 1245280023 from the Centers for Medicare & Medicaid Services?

The Jaime Ponce Portugal, was issued its 1245280023 by the Centers for Medicare & Medicaid Services on 2006-05-11.

When was the information regarding Jaime Ponce Portugal,, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jaime Ponce Portugal,, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.

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