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NPI Code Detail

MEDICARE: SISTEMAS MEDICOS NACIONOLES SA DE CV

MEDICARE: SISTEMAS MEDICOS NACIONOLES SA DE CV
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
1302R00000XHealth Maintenance Organization933393CA

General Provider Information

NPI Number : 1861663916
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISTEMAS MEDICOS NACIONOLES SA DE CV
Provider Business Mailing Address
First Line : 2088 OTAY LAKES ROAD
Second Line : SUITE 102
City : CHULA VISTA
State : CA
Zip : 91913
Country : US
Telephone Number : 800-424-4652
Fax Number : 619-407-4087
Provider Business Practice Location Address
First Line : AV. PASEO TIJUANA # 406-102
Second Line :
City : TIJUANA
State : BAJA CALIFORNIA
Zip : 22320
Country : MX
Telephone Number : 800-424-4652
Fax Number :
Authorized Official
Title or Position : COO
Name : CHRISTINA SUGGETT
Credential :
Telephone Number : 619-407-4082
Provider Enumeration Date : 03/17/2008
Last Update Date : 01/24/2018

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Directions to “SISTEMAS MEDICOS NACIONOLES SA DE CV ” Practice Location

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