PLASTICALIFT NPI 1740963222

NPI Information

  • NPI: 1740963222
  • Provider Name: PLASTICALIFT
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: CHULA VISTA 130
    SAN ANTONIO DE TLYACAPAN, JALISCO
    ZIP 45900
  • Phone: (440) 568-0208

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NPI Details

PLASTICALIFT is an ambulatory surgical clinic center in San Antonio De Tlyacapan, JALISCO. PLASTICALIFT NPI is 1740963222. The provider is registered as an organization entity type.

The provider's business location address is:

CHULA VISTA 130
SAN ANTONIO DE TLYACAPAN, JALISCO
ZIP 45900
Phone: (440) 568-0208

The provider's authorized official is Gary Monk .
The authorized official title is Director and has the following contact phone number (440) 534-0208.

The enumeration date for this NPI number is 8/10/2023 and was last updated on 8/10/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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: 11/21/2025

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