1154443034 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Table of content: (NPI 1154443034)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154443034 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEPARTAMENTO DE SALUD OFICIAL
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:
LABORATIO DE SALUD PUBLICA DE PUERTO RICO/OCASET
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:
1154443034
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/06/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 193044
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00919-3044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-945-1472
Provider Business Mailing Address Fax Number:
787-250-9265

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
LABORATORIO SALUD PUBLICA DE P.R.
Provider Second Line Business Practice Location Address:
EDIFICIO A BO MONACILLO
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-274-5766
Provider Business Practice Location Address Fax Number:
787-274-5711
Provider Enumeration Date:
04/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DURAN
Authorized Official First Name:
CUIDUVEL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR EXECUTIVO
Authorized Official Telephone Number:
787-745-1472

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  1 , 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)

  • Identifier: 101237 . This is a "CAGUAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S005 . This is a "MAYAGUEZ" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S006 . This is a "CAGUAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101241 . This is a "PONCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S001 . This is a "ARECIBO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S004 . This is a "PONCE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101238 . This is a "FAJARDO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101240 . This is a "CLETS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40D0672312 . This is a "CLIA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 5066 . This is a "PROSSAM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S183 . This is a "CLETS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 051756 . This is a "MAYAGUEZ" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101235 . This is a "BAYAMON" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101240 . This is a "CAROLINA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S003 . This is a "CAROLINA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101239 . This is a "HUMACAO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-17 . This is a "MCS COMERCIAL REFORMA ADV" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S002 . This is a "BAYAMON" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 30346 . This is a "TRIPLE S C" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101234 . This is a "ARECIBO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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