Active NPIIndividual provider

Carla M Basadre Quiroz, MD

Family Medicine, Sports Medicine in Methuen, Massachusetts

NPI Number1245612605
Practice location
147 Pelham St, Methuen, MA 01844-2060
Fax
978-683-3058
Last updated
September 3, 2019

Carla Marisa Basadre Quiroz is a Family Medicine, Sports Medicine based in Methuen, MA. Carla Marisa Basadre Quiroz practices in Methuen, MA and has the professional credentials of MD. The NPI Number for Carla Marisa Basadre Quiroz is 1245612605 and holds a License No. 277313 (MA). The current practice location address for Carla Marisa Basadre Quiroz is 147 Pelham St, Methuen, MA 01844-2060 and can be reached out via phone at 978-683-3491 and via fax at 978-683-3058.

Provider Profile Details

NPI Number
1245612605
Provider Name
Carla Marisa Basadre Quiroz
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
147 Pelham St, Methuen, MA 01844-2060
Phone Number
978-683-3491
Fax Number
978-683-3058
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
June 22, 2015
Last Update Date
September 3, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
147 Pelham St
Methuen, MA 01844-2060
Zip
01844-2060
Phone Number
978-683-3491
Fax Number
978-683-3058
Methuen, MA 01844Get directions →

Provider Business Mailing Address Details

Address
147 Pelham St
Methuen, MA 01844-2060
City
Methuen
State
MA
Zip
01844-2060
Phone Number
978-683-3491
Fax Number
978-683-3058

License Information

License Number
277313
License State
MA
Taxonomy
Family Medicine, Sports Medicine · 207QS0010X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carla M Basadre Quiroz, MD?

The NPI number of Carla M Basadre Quiroz, MD is 1245612605. It was assigned on June 22, 2015 and is currently active in the NPPES registry.

What is the specialty of Carla M Basadre Quiroz, MD?

Carla M Basadre Quiroz, MD is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in MA under license number 277313.

Where does Carla M Basadre Quiroz, MD practice?

The practice location is 147 Pelham St, Methuen, MA 01844-2060. The office can be reached at 978-683-3491 (phone) or 978-683-3058 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245612605 directly on the NPPES registry website.

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