Doctor Name: | DR. NAVID POUR-AHMADI |
NPI Number: | 1306898770 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16155 |
Business Practice Address: | Bo. Atalaya Carr.416 Km.8.7 Aguada, PR - 00602 |
Business Phone Number: | 7878684210 |
Business Fax Number: | 7878684210 |
Mailing Address: | Po Box 1912, MAYAGUEZ |
State: | PR |
Postal Code: | 006811912 |
Phone Number: | 7878684210 |
Fax Number: | 7878684210 |
NPI Enumeration Date: | 05/16/2006 |
NPI Last Update Date: | 01/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16155 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |