Provider Demographics
NPI:1295587418
Name:SIERRA MUGARO, HECTOR A
Entity type:Individual
Prefix:
First Name:HECTOR
Middle Name:A
Last Name:SIERRA MUGARO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 ORANGE ST # A2
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12206-3119
Mailing Address - Country:US
Mailing Address - Phone:518-880-7528
Mailing Address - Fax:
Practice Address - Street 1:348 ORANGE ST # A2
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12206-3119
Practice Address - Country:US
Practice Address - Phone:518-880-7528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi