Wilfredo Chicas Tovar, ENGINEER ELECTRONICS

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

81713 Issued in MD

Practice address

6305 23Rd Ave
West Hyattsville, MD 20782-1744

Phone

(301) 257-6844

NPI assigned

Feb 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• National Electronics

  • Dialysis Equipment & Supplies (DME)
  • Beltsville, MD
  • NPI 1063710309
  NPD (past) Authorized official

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1427754993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 23RD AVE",
            "city": "WEST HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821744",
            "telephone_number": "301-257-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 23RD AVE",
            "city": "WEST HYATTSVILLE",
            "state": "MD",
            "postal_code": "207821744",
            "telephone_number": "301-257-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOVAR",
        "first_name": "WILFREDO",
        "middle_name": "CHICAS",
        "name_prefix": "Mr.",
        "credential": "ENGINEER ELECTRONICS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "HI",
            "license": "8900165",
            "primary": false
        },
        {
            "code": "171WV0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Vehicle Modifications",
            "state": "MD",
            "license": "81713",
            "primary": false
        },
        {
            "code": "225XR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3418M1130X",
            "taxonomy_group": "",
            "desc": "Military/U.S. Coast Guard Transport, Military or U.S. Coast Guard Ambulance, Water Transport",
            "state": "MD",
            "license": "81713",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MD",
            "license": "81713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21582009",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rhodesia Dabney, MA
• Giant of Maryland LLC
• Colleen Allison O'Connor
• Bimbola Oluyemi Philips, PHARMD
• Melvis Teka
• Mary K. Zacharia

• Customized Equipment (DME) in West Hyattsville, MD
• Providers in West Hyattsville, MD by specialty
• Customized Equipment (DME) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.