NPI Code Details Logo

NPI 1568969723

NPI 1568969723 : HENRIQUE ALENCASTRO PULS MD : GREENVILLE, SC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568969723
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    HENRIQUE ALENCASTRO PULS MD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/12/2018
-----------------------------------------------------
    Last Update Date     |    07/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    701 GROVE RD FL 1 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29605-4210
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    864-455-7899
-----------------------------------------------------
    Fax                  |    864-455-5474
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    204A WILKINS ST 
-----------------------------------------------------
    City                 |    GREENVILLE
-----------------------------------------------------
    State                |    SC
-----------------------------------------------------
    Zip                  |    29605-3909
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    248-989-8142
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207LC0200X
-----------------------------------------------------
    Taxonomy Name        |    Critical Care Medicine (Anesthesiology) Physician
-----------------------------------------------------
    License Number       |    166038
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    166038
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207P00000X
-----------------------------------------------------
    Taxonomy Name        |    Emergency Medicine Physician
-----------------------------------------------------
    License Number       |    94164
-----------------------------------------------------
    License Number State |    SC
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.