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NPI Code Detail

MEDICARE: JORGE LUIS MADERA JR. RRT, RPFT

MEDICARE: JORGE LUIS MADERA JR. RRT, RPFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1227900000XRegistered Respiratory TherapistA-7392NC
22279P1006XPulmonary Function Technologist Registered Respiratory Therapist7392NC

General Provider Information

NPI Number : 1295145860
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE LUIS MADERA JR. RRT, RPFT
Provider Business Mailing Address
First Line : 1100 TUNNEL RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28805-2576
Country : US
Telephone Number : 828-298-7911
Fax Number :
Provider Business Practice Location Address
First Line : 1100 TUNNEL RD
Second Line :
City : ASHEVILLE
State : NC
Zip : 28805-2576
Country : US
Telephone Number : 828-298-7911
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2014
Last Update Date : 02/11/2022

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