1043248388 NPI number — MUNICIPIO DE JUNCOS

Table of content: (NPI 1043248388)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043248388 NPI number — MUNICIPIO DE JUNCOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MUNICIPIO DE JUNCOS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
LABORATORIO CDT CESAR COLLAZO
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043248388
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1706
Provider Second Line Business Mailing Address:
HOSPITAL MUNICIPAL DR. CESAR COLLAZO
Provider Business Mailing Address City Name:
JUNCOS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00777-1706
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-713-9566
Provider Business Mailing Address Fax Number:
787-734-0185

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
37 CALLE MUNOZ RIVERA
Provider Second Line Business Practice Location Address:
HOSPITAL MUNICIPAL DR. CESAR COLLAZO
Provider Business Practice Location Address City Name:
JUNCOS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00777-3114
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-713-9566
Provider Business Practice Location Address Fax Number:
787-734-0185
Provider Enumeration Date:
06/28/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DENIS
Authorized Official First Name:
SHEILA
Authorized Official Middle Name:
Y.
Authorized Official Title or Position:
HEALTH SERVICES ADMINISTRATOR
Authorized Official Telephone Number:
787-734-0494

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 4448-3 . This is a "PROSSAM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P421 . This is a "INTERNATIONAL MEDICAL CAR" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 00429 . This is a "AMERICAN HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 31523 . This is a "TRIPLE S" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7770032 . This is a "HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 600356 . This is a "PREFERRED HEALTH PLAN" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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