1134373434 NPI number — CLAUDIA CAMUNAS PEREZ MD

Table of content: CLAUDIA CAMUNAS PEREZ MD (NPI 1134373434)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134373434 NPI number — CLAUDIA CAMUNAS PEREZ MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CAMUNAS PEREZ
Provider First Name:
CLAUDIA
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CAMUNAS PEREZ
Provider Other First Name:
CLAUDIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1134373434
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/05/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UNIVERSITY DISTRICT HOSPITAL
Provider Second Line Business Mailing Address:
MEDICAL CENTER UDH 2 PO 2116
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00922-2116
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-754-0101
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UNIVERSITY DISTRICT HOSPITAL
Provider Second Line Business Practice Location Address:
MEDICAL CENTER UDH 2 PO 2116
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00922-2116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-0101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/13/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 2084N0400X , with the licence number:  18241 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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