1255464293 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Table of content: (NPI 1255464293)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255464293 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:
CPTET PONCE/CENTRODE PREVENUOR Y TRATAMIENTO DE ENFERMEDADES TRANSMISI
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:
1255464293
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
#100 URBANIZAUOR SANTA JUANITA
Provider Second Line Business Mailing Address:
AVENIDE LAUREL
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00956-4816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
872-594-7307
Provider Business Mailing Address Fax Number:
787-259-3998

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ANTIGUO HOSPITAL DE DISTRITO HOSPITAL DR. JOSE'
Provider Second Line Business Practice Location Address:
GANDARA, CARR. 14, SO MACHUELO
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-259-4731
Provider Business Practice Location Address Fax Number:
787-259-3998
Provider Enumeration Date:
03/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DURAN
Authorized Official First Name:
CUIDUVEL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR EJECUTIVO
Authorized Official Telephone Number:
787-945-1472

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , 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: 660433481 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 81456 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S952 . This is a "INTERNISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-8T . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-17 . This is a "LABORATORIO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 992624 . This is a "MEDICO Y LABORATORIO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S004 . This is a "LABORATORIO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S804 . This is a "INFECTOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S857 . This is a "IFECTOLOGO PEDIATRICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-8K . This is a "GENERALISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-8L . This is a "MED INTERNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481HI . This is a "INFECTOLOGIA PEDIATRICA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S790 . This is a "PEDIATRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 30346 . This is a "LABORATORIO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7310406 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101241 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S629 . This is a "GENERALISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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