Provider Demographics
NPI:1770975617
Name:NILGER MALPARTIDA MD.
Entity type:Organization
Organization Name:NILGER MALPARTIDA MD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:NILGER
Authorized Official - Middle Name:
Authorized Official - Last Name:MALPARTIDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-493-1833
Mailing Address - Street 1:P.O. BOX 1339
Mailing Address - Street 2:714 WEST PARK AVE
Mailing Address - City:CHIEFLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32626
Mailing Address - Country:US
Mailing Address - Phone:352-493-1833
Mailing Address - Fax:352-493-1833
Practice Address - Street 1:714 WEST PARK AVE
Practice Address - Street 2:
Practice Address - City:CHIEFLAND
Practice Address - State:FL
Practice Address - Zip Code:32626
Practice Address - Country:US
Practice Address - Phone:352-493-1833
Practice Address - Fax:352-493-1833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME42317208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL067933000Medicaid
FL067933000Medicaid
FL15014Medicare PIN