Doctor Name: | PATRICIO JORDAN |
NPI Number: | 1174923502 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CEO |
License Number: | 171W0000X |
Business Practice Address: | Torre Advanced 5 Calle Ricardo Arias Area Bancaria Panama, PANAMA - 082301930 |
Business Phone Number: | 5073960586 |
Business Fax Number: | 5073960587 |
Mailing Address: | Torre Advanced 5 Calle Ricardo Arias, Area Bancaria PANAMA |
State: | PANAMA |
Postal Code: | 082301930 |
Phone Number: | 5073960586 |
Fax Number: | 5073960587 |
NPI Enumeration Date: | 09/04/2014 |
NPI Last Update Date: | 09/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171W00000X |
License Number: | 171W0000X |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Contractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |