Healthcare Provider Details

I. General information

NPI: 1487566907
Provider Name (Legal Business Name): SMARTRUAMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 MAPLE ST STE 2
SPRINGFIELD MA
01105-2035
US

IV. Provider business mailing address

82 MAPLE ST STE 2
SPRINGFIELD MA
01105-2035
US

V. Phone/Fax

Practice location:
  • Phone: 347-734-3623
  • Fax:
Mailing address:
  • Phone: 347-734-3623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: EFRAIN DIAZ
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 347-734-3623