Basic Information
Provider Information
NPI: 1427464999
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NOY
FirstName: MIGUEL
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: DOCTOR OF MEDICINE
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: NOY MALAVE
OtherFirstName: MIGUEL
OtherMiddleName: A.
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 2
Mailing Information
Address1: PO BOX 362842
Address2:  
City: SAN JUAN
State: PR
PostalCode: 009362842
CountryCode: US
TelephoneNumber: 7877511312
FaxNumber: 7877560575
Practice Location
Address1: 239 ARTERIAL HOSTOS, CAPITAL CENTER
Address2: TORRE 1 SUITE 1-A (SOTANO)
City: SAN JUAN
State: PR
PostalCode: 00918
CountryCode: US
TelephoneNumber: 7877561312
FaxNumber: 7877560575
Other Information
ProviderEnumerationDate: 07/06/2014
LastUpdateDate: 07/27/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207ZP0102X019865PRY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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