Provider Demographics
NPI:1801320973
Name:ESTEVEZ-ORDONEZ, DAGOBERTO (MD)
Entity type:Individual
Prefix:
First Name:DAGOBERTO
Middle Name:
Last Name:ESTEVEZ-ORDONEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF NEUROSURGERY UAB
Mailing Address - Street 2:FOT 1057 510 - 20TH STREET SOUTH
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35294-3410
Mailing Address - Country:US
Mailing Address - Phone:615-852-5375
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF NEUROSURGERY UAB
Practice Address - Street 2:FOT 1057 510 - 20TH STREET SOUTH
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35294-3410
Practice Address - Country:US
Practice Address - Phone:615-852-5375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-16
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program