Individual provider Active NPI

Rene Alfredo Fagalde

  • Interpreter
  • Richmond, VA
National Provider Identifier
1104153543
Registry record updated Nov 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
InterpreterTaxonomy code 171R00000X
Practice address
3930 Brook Rd
Richmond, VA 23227-4143
Phone
(804) 517-9428
Fax
(804) 262-1033
NPI assigned
Nov 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X Primary

Addresses

Primary practice location

3930 Brook Rd
Richmond, VA 23227-4143

Mailing address

3930 Brook Rd
Richmond, VA 23227-4143
Phone (804) 517-9428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257379200000",
    "number": "1104153543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274143",
            "telephone_number": "804-517-9428",
            "fax_number": "804-262-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 BROOK RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232274143",
            "telephone_number": "804-517-9428",
            "fax_number": "804-262-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGALDE",
        "first_name": "RENE",
        "middle_name": "ALFREDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.