Active NPIIndividual providerSole proprietor

Gustavo A Mirabal, MEDICAL STUDENT MS4

Student in an Organized Health Care Education/Training Program in Southfield, Michigan

NPI Number1447946470
Practice location
16001 W 9 Mile RD, Southfield, MI 48075-4818
Fax
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Last updated
April 13, 2023

Gustavo Alberto Mirabal is a Student in an Organized Health Care Education/Training Program based in Southfield, MI. Gustavo Alberto Mirabal practices in Southfield, MI and has the professional credentials of MEDICAL STUDENT MS4. The NPI Number for Gustavo Alberto Mirabal is 1447946470. The current practice location address for Gustavo Alberto Mirabal is 16001 W 9 Mile RD, Southfield, MI 48075-4818 and can be reached out via phone at 248-849-2407.

Provider Profile Details

NPI Number
1447946470
Provider Name
Gustavo Alberto Mirabal
Credential
MEDICAL STUDENT MS4
Provider Entity Type
Individual
Gender
Male
Address
16001 W 9 Mile RD, Southfield, MI 48075-4818
Phone Number
248-849-2407
Sole Proprietor
Yes
Provider Enumeration Date
April 13, 2023
Last Update Date
April 13, 2023
Certification Date
May 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
16001 W 9 Mile RD
Southfield, MI 48075-4818
Zip
48075-4818
Phone Number
248-849-2407
Southfield, MI 48075Get directions →

Provider Business Mailing Address Details

Address
Calle Principe 641
Ext. El Comandante
Carolina, PR 00982
City
Carolina
State
PR
Zip
00982
Phone Number
939-249-7814

License Information

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 Gustavo A Mirabal, MEDICAL STUDENT MS4?

The NPI number of Gustavo A Mirabal, MEDICAL STUDENT MS4 is 1447946470. It was assigned on April 13, 2023 and is currently active in the NPPES registry.

What is the specialty of Gustavo A Mirabal, MEDICAL STUDENT MS4?

Gustavo A Mirabal, MEDICAL STUDENT MS4 is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Gustavo A Mirabal, MEDICAL STUDENT MS4 practice?

The practice location is 16001 W 9 Mile RD, Southfield, MI 48075-4818. The office can be reached at 248-849-2407 (phone).

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 1447946470 directly on the NPPES registry website.

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