MRS. MARTA MATEO FIALLO


Address: 2519 Hunters Run Way, Weston, FL 33327-1436
Phone: 9548825387

MRS. MARTA MATEO FIALLO (NPI# 1003924424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003924424
Entity Type Individual
Full Name MRS. MARTA MATEO FIALLO
Practice Address 2519 Hunters Run Way
Weston
FL 33327-1436
Mailing Address 15051 Royal Oaks Ln
#703
North Miami
FL 33181-2457
Practice Telephone 9548825387
Practice Fax Number 7868882887
Mailing Telephone 9548825387
Mailing Fax Number 7868882887
Enumeration Date 2006-08-26
Last Update Date 2008-03-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246ZE0600X Specialist/Technologist, Other
Specialization: Electroneurodiagnostic
279-0006593 FL Technologists, Technicians & Other Technical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BLUE CROSS BLUE SHEILD Q08426 01
PA LEGACY INDENTIFER 2818468000 01
OH BUREAU OF WORKERS COMPENS 2648014400 01
NJ LEGACY INDENTIFER 28184680000 01

Office Location

Street Address 2519 HUNTERS RUN WAY
City WESTON
State FL
Zip Code 33327-1436

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Taxonomy Information

Taxonomy Code 246ZE0600X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Specialist/Technologist, Other
Specialization Electroneurodiagnostic

Taxonomy Definition

Definition to come...

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Competitor

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City WESTON
Zip Code 33327

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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