1255256897 NPI number — CENTRO REUMATOLOGICO DEL OESTE LLC

Table of content: (NPI 1255256897)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255256897 NPI number — CENTRO REUMATOLOGICO DEL OESTE LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO REUMATOLOGICO DEL OESTE LLC
Provider Last Name:
Provider First Name:
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Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
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NPI Number Information

NPI Number:
1255256897
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
131 CALLE ROSARIO
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CABO ROJO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00623-3913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
939-319-1794
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EDIFICIO SAN VICENTE DE PAUL
Provider Second Line Business Practice Location Address:
OFICINA 308
Provider Business Practice Location Address City Name:
SAN GERMAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-319-1794
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/12/2026

Additional Information

Authorized Official

Authorized Official Last Name:
PLAZA LAMOLI
Authorized Official First Name:
EDWIN
Authorized Official Middle Name:
JOSE
Authorized Official Title or Position:
MEDICAL DIRECTOR
Authorized Official Telephone Number:
939-319-1794

Provider Taxonomy Codes

  • Taxonomy code: 207RR0500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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