1225121999 NPI number — INSTITUTO ORTOPEDICO CAGUAS

Table of content: (NPI 1225121999)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1225121999 NPI number — INSTITUTO ORTOPEDICO CAGUAS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
INSTITUTO ORTOPEDICO CAGUAS
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:
INSTITUTO ORTOPEDICO CAGUAS
Provider Other Organization Name Type Code:
4
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:
1225121999
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 760
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00726
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-744-4654
Provider Business Mailing Address Fax Number:
787-743-4959

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EDIF. HIMA SAN PABLO CIRUGIA AMBULATORIA
Provider Second Line Business Practice Location Address:
CALLE MUNOZ RIVERA NUM. 1 FIINAL OFIC. 203
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00726
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-744-4654
Provider Business Practice Location Address Fax Number:
787-743-4959
Provider Enumeration Date:
10/02/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
LOPEZ
Authorized Official First Name:
BENIGNO
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENTTE
Authorized Official Telephone Number:
787-744-4654

Provider Taxonomy Codes

  • Taxonomy code: 207X00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2-4588-1 . This is a "CIGNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 3-4588-1 . This is a "CIGNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 72550075 . This is a "HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".