1851593701 NPI number — MOROVIS COMMUNITY HEALTH CENTER, INC.

Table of content: (NPI 1851593701)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851593701 NPI number — MOROVIS COMMUNITY HEALTH CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
N/A
Provider Organization Name:
MOROVIS COMMUNITY HEALTH CENTER, 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:
1851593701
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/12/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 CALLE PATRON
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOROVIS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00687-3021
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-862-3000
Provider Business Mailing Address Fax Number:
787-862-2731

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 CALLE PATRON
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOROVIS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00687-3021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-862-3000
Provider Business Practice Location Address Fax Number:
787-862-2731
Provider Enumeration Date:
06/04/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DIAZ
Authorized Official First Name:
LIRIO
Authorized Official Middle Name:
ANTONIA
Authorized Official Title or Position:
EXECUTIVE ASSISTANT
Authorized Official Telephone Number:
787-862-3000

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  721 , 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: 31050 . This is a "SSS CCC REFORMA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 22223 . This is a "PROSAM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 5679 . This is a "AMERICAN HEALTH PROV #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40006 . This is a "PMC PROVIDER #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6870002 . This is a "HUMANA PROVIDER #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 800107 . This is a "MEDICARE Y MUCHO MAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: ========= . This is a "FEDERAL IDENTIFICATION #" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".