Provider Demographics
NPI:1861663916
Name:SISTEMAS MEDICOS NACIONOLES SA DE CV
Entity Type:Organization
Organization Name:SISTEMAS MEDICOS NACIONOLES SA DE CV
Other - Org Name:SIMNSA HEALTH PLAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-407-4082
Mailing Address - Street 1:2088 OTAY LAKES ROAD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91913
Mailing Address - Country:US
Mailing Address - Phone:800-424-4652
Mailing Address - Fax:619-407-4087
Practice Address - Street 1:AV. PASEO TIJUANA # 406-102
Practice Address - Street 2:
Practice Address - City:TIJUANA
Practice Address - State:BAJA CALIFORNIA
Practice Address - Zip Code:22320
Practice Address - Country:MX
Practice Address - Phone:800-424-4652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2018-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA933393302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization