Active NPIIndividual providerSole proprietor

Gener A Fajardo Ruiz, SA-C

Specialist/Technologist, Other, Surgical Assistant in Worcester, Massachusetts

NPI Number1790325165
Practice location
23 County St, Worcester, MA 01604-2403
Fax
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Last updated
January 13, 2020

Gener Alejandro Fajardo Ruiz is a Specialist/Technologist, Other, Surgical Assistant based in Worcester, MA. Gener Alejandro Fajardo Ruiz practices in Worcester, MA and has the professional credentials of SA-C. The NPI Number for Gener Alejandro Fajardo Ruiz is 1790325165 and holds a License No. 19-500 (MA). The current practice location address for Gener Alejandro Fajardo Ruiz is 23 County St, Worcester, MA 01604-2403 and can be reached out via phone at 774-253-2716.

Provider Profile Details

NPI Number
1790325165
Provider Name
Gener Alejandro Fajardo Ruiz
Credential
SA-C
Provider Entity Type
Individual
Gender
Male
Address
23 County St, Worcester, MA 01604-2403
Phone Number
774-253-2716
Sole Proprietor
Yes
Provider Enumeration Date
January 13, 2020
Last Update Date
January 13, 2020
Certification Date
January 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 County St
Worcester, MA 01604-2403
Zip
01604-2403
Phone Number
774-253-2716
Worcester, MA 01604Get directions →

Provider Business Mailing Address Details

Address
23 County St
Worcester, MA 01604-2403
City
Worcester
State
MA
Zip
01604-2403
Phone Number
774-253-2716

License Information

License Number
19-500
License State
MA

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 Gener A Fajardo Ruiz, SA-C?

The NPI number of Gener A Fajardo Ruiz, SA-C is 1790325165. It was assigned on January 13, 2020 and is currently active in the NPPES registry.

What is the specialty of Gener A Fajardo Ruiz, SA-C?

Gener A Fajardo Ruiz, SA-C is registered under the primary taxonomy Specialist/Technologist, Other, Surgical Assistant (code 246ZC0007X), licensed in MA under license number 19-500.

Where does Gener A Fajardo Ruiz, SA-C practice?

The practice location is 23 County St, Worcester, MA 01604-2403. The office can be reached at 774-253-2716 (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 1790325165 directly on the NPPES registry website.

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