Godofredo L Mateo in Lakewood - General Practice
Godofredo L Mateo - NPI 1912059122
Godofredo L Mateo is a General Practice in Lakewood, Washington. Godofredo L Mateo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Godofredo L Mateo is 1912059122. The last update date is 2007-07-08.
Godofredo L Mateo's current location address is 7226 Interlaaken Dr Sw, Lakewood, Washington. You can contact this provider via phone number 2535884866 and fax number 2535884866. The mailing address for Godofredo L Mateo is 7226 Interlaaken Dr Sw, Lakewood, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Godofredo L Mateo |
|---|---|
| Address | 7226 Interlaaken Dr Sw, Lakewood, Washington |
| Phone Number | 2535884866 |
| Fax Number | 2535884866 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912059122 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7226 Interlaaken Dr Sw |
|---|---|
| City | Lakewood |
| State | Washington (WA) |
| Post Code | 984991800 |
| Phone Number | 2535884866 |
| Fax Number | 2535884866 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD00012743 |
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Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1100387 | WA | -- |
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What is the unique 10-digit identification code issued to Godofredo L Mateo by the Centers for Medicare & Medicaid Services?
The Godofredo L Mateo has been assigned the NPI (National Provider Identifier) 1912059122 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Godofredo L Mateo located?
The Godofredo L Mateo is located at 7226 Interlaaken Dr Sw, Lakewood, WA 984991800.
What is Godofredo L Mateo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Godofredo L Mateo is General Practice, and the taxonomy code that classifies this field of practice is 208D00000X.
When did Godofredo L Mateo receive its 1912059122 assignment?
The Godofredo L Mateo was assigned its 1912059122 on 2007-01-17, which is the date when this unique identifier was issued to the organization.
When was the information regarding Godofredo L Mateo most recently updated?
The details pertaining to the Godofredo L Mateo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.