De Aza, Miguel Antonio

De Aza, Miguel Antonio is an individual health care provider with primary practice located at 2957 North 5Th St 2Nd Floor, Philadelphia PA 19133-2800. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Behavioral Health & Social Service Providers / Mental Health. Emergency Medical Service Providers / Personal Emergency Response Attendant is his primary health care specialty. De Aza, Miguel Antonio can be contacted via phone (484) 221-9135.

Contact Information

Primary practice address
2957 North 5Th St 2Nd Floor Philadelphia PA 19133-2800
Phone: (484) 221-9135
Fax: (484) 221-9130
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 15822 Puerto Rico
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1336103019
LBN Legal business name De Aza, Miguel Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 18th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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