1427207232 NPI number — CENTRO GINECO-OBSTETRICO DEL OESTE INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427207232 NPI number — CENTRO GINECO-OBSTETRICO DEL OESTE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO GINECO-OBSTETRICO DEL OESTE INC.
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:
Provider Other Organization Name Type Code:
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:
1427207232
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/01/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 6676
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MAYAGUEZ
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00681-6676
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-908-6600
Provider Business Mailing Address Fax Number:
787-675-9228

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
EDIFICIO CENTERPLEX
Provider Second Line Business Practice Location Address:
CARR #2 KM 133.5 SUITE 307
Provider Business Practice Location Address City Name:
AGUADA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-908-6888
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/17/2008

Additional Information

Authorized Official

Authorized Official Last Name:
BONILLA
Authorized Official First Name:
MABEL
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
787-503-3623

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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