1073842308 NPI number — CENTRO ESPECIALIZADO EN LA MUJER

Table of content: (NPI 1073842308)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1073842308 NPI number — CENTRO ESPECIALIZADO EN LA MUJER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTRO ESPECIALIZADO EN LA MUJER
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:
1073842308
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/16/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 373130
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAYEY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00737-3130
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-535-1001
Provider Business Mailing Address Fax Number:
787-535-1021

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
URB VILLA ROSALES
Provider Second Line Business Practice Location Address:
CALLE DR TROYER A1
Provider Business Practice Location Address City Name:
AIBONITO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00705
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-735-8001
Provider Business Practice Location Address Fax Number:
787-535-1021
Provider Enumeration Date:
12/16/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RIVERA
Authorized Official First Name:
AIXA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF C.E.M
Authorized Official Telephone Number:
787-735-8001

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2025 www.npivalidator.com