1902825391 NPI number — TOA ALTA CURA CHC

Table of content: (NPI 1902825391)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902825391 NPI number — TOA ALTA CURA CHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOA ALTA CURA CHC
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:
1902825391
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16 CALLE BARCELO
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TOA ALTA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00953-2444
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-870-1529
Provider Business Mailing Address Fax Number:
787-870-1508

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 CALLE BARCELO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TOA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00953-2444
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-870-1529
Provider Business Practice Location Address Fax Number:
787-870-1508
Provider Enumeration Date:
07/18/2006

Additional Information

Authorized Official

Authorized Official Last Name:
VEGA
Authorized Official First Name:
EDITH
Authorized Official Middle Name:
M
Authorized Official Title or Position:
LABORATORY DIRECTOR
Authorized Official Telephone Number:
787-870-1529

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  0706 , 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: 31360 . This is a "TRIPLE S TRIPLE C" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: P848 . This is a "INTERNATIONAL MED CARD" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 3451-3 . This is a "ASOCIACION DE MAESTROS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4001281 . This is a "ACAA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 00424 . This is a "AMERICAN HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 100167 . This is a "CRUZ AZUL DE PUERTO RICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 600293 . This is a "PREFERRED HEALTH PLAN" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 0706 . This is a "STATE LABORATORY LICENSE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 61 . This is a "STATE HEALTH LICENSE" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com