Wilfredo Chicas Tovar, Engineer Electronics
Durable Medical Equipment & Medical Supplies, Customized Equipment in West Hyattsville, MD. Individual provider (NPI-1).
NPI number1427754993
StatusActive
Last updated in NPPESFeb 6, 2023
Details
- NPI
- 1427754993
- Entity type
- Individual (NPI-1)
- Name
- Mr. Wilfredo Chicas Tovar
- Credential
- Engineer Electronics
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 6, 2023
- Certification date
- Feb 6, 2023
- Last updated
- Feb 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 81713 | MD | Yes |
| 133VN1201X | Dietitian, Registered, Nutrition, Obesity and Weight Management | 8900165 | HI | |
| 171WV0202X | Contractor, Vehicle Modifications | 81713 | MD | |
| 225XR0403X | Occupational Therapist, Driving and Community Mobility | – | – | |
| 3418M1130X | Military Transport, Military or U.S. Coast Guard Ambulance, Water Transport | 81713 | MD |
Practice location
6305 23rd AveWest Hyattsville, MD 20782-1744
Phone 301-257-6844
Mailing address
6305 23rd AveWest Hyattsville, MD 20782-1744
Phone 301-257-6844
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