Provider Demographics
NPI:1144208117
Name:HEALTH INDEPENDENT PROVIDERS INC
Entity Type:Organization
Organization Name:HEALTH INDEPENDENT PROVIDERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:VERDAGUER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-452-1282
Mailing Address - Street 1:9 CENTRAL STREET
Mailing Address - Street 2:SUITE 607
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852
Mailing Address - Country:US
Mailing Address - Phone:978-452-1282
Mailing Address - Fax:978-452-1204
Practice Address - Street 1:9 CENTRAL STREET
Practice Address - Street 2:SUITE 607
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852
Practice Address - Country:US
Practice Address - Phone:978-452-1282
Practice Address - Fax:978-452-1204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA229614OtherUNITED HEALTH CARE
MAM18325OtherBCBS
MA9725521Medicaid
M18325Medicare UPIN
M21228Medicare ID - Type Unspecified