Giraldo, Mauricio H

Giraldo, Mauricio H is an sole proprietor health care provider with primary practice located at 6124 Durham Ave Apt 1 , North Bergen NJ 07047-3410. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Giraldo, Mauricio H can be contacted via phone (917) 496-9640.

Contact Information

Primary practice address
6124 Durham Ave Apt 1 North Bergen NJ 07047-3410
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 18KT00143800 New Jersey

Profile Details

NPI number 1477139483
LBN Legal business name Giraldo, Mauricio H
Credentials Medical Technologist (MT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2021
Last updated Mar 24th, 2021 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1477139483 NPPES
New Jersey MEDICAID 833954663

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