1629528856 NPI number — CENTRO DE SALUD CONDUCTUAL MENONITA CIMA

Table of content: (NPI 1629528856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629528856 NPI number — CENTRO DE SALUD CONDUCTUAL MENONITA CIMA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO DE SALUD CONDUCTUAL MENONITA CIMA
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:
6
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:
1629528856
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1650
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CIDRA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00739-1650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-434-1700
Provider Business Mailing Address Fax Number:
787-434-1714

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE ANTONIO R. BARCELO
Provider Second Line Business Practice Location Address:
EDIFICIO JOSE 'PICULIN'ORTIZ ROJAS NIVEL 2 LOCAL 213
Provider Business Practice Location Address City Name:
CAYEY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00736
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-434-1700
Provider Business Practice Location Address Fax Number:
787-434-1714
Provider Enumeration Date:
10/12/2016

Additional Information

Authorized Official

Authorized Official Last Name:
VAZQUEZ RIVERA
Authorized Official First Name:
LISSETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
BILLING MANANGER
Authorized Official Telephone Number:
787-434-1700

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2026 www.npivalidator.com