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SMA MEDICINE LLC NPI 1841255247


NPI Information

NPI: 1841255247
Provider Name: SMA MEDICINE, LLC

Other Name: RUFINO V. ROSAL

Classification: Family Medicine - 207QA0505X
Entity Type: Organization

Specialization: Adult Medicine

Address:
38 DEAK DR
SMYRNA, DE
ZIP 19977
Phone: (302) 653-6174
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SMA MEDICINE, LLC is an adult medicine family medicine in Smyrna, DE. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. SMA MEDICINE, LLC NPI is 1841255247. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Rufino V. Rosal.

The provider's business location address is:

38 DEAK DR
SMYRNA, DE
ZIP 19977-268
Phone: (302) 653-6174
Fax: (302) 653-9563

The provider's authorized official is Rufino Villar Rosal .
The authorized official title is Practitioner and has the following contact phone number (302) 653-6174.

The enumeration date for this NPI number is 4/19/2006 and was last updated on 5/12/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QA0505XFamily MedicineAdult MedicineC1 0005332DELAWAREYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DE5704OTHERDELAWARERAILROAD MEDICARE
20000945801MEDICAIDDELAWARE
3G02240MEDICARE PINDELAWARE
4G28517MEDICARE UPINDELAWARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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