1144358441 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Table of content: (NPI 1144358441)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144358441 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEPARTAMENTO DE SALUD OFICIAL
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:
1144358441
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/12/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
#100 URBANIZACION SANTA JUANITA
Provider Second Line Business Mailing Address:
AVENIDA LAUREL
Provider Business Mailing Address City Name:
BAYAMON
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00956-4816
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-754-8128
Provider Business Mailing Address Fax Number:
787-754-8127

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
PASEO CELSO BARBOSA PRIMER PISO HOSPITAL DE TRAUMA
Provider Second Line Business Practice Location Address:
CENTRO MEDICO, BO. MONACILLOS, RIO PIEDRAS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-8128
Provider Business Practice Location Address Fax Number:
787-754-8127
Provider Enumeration Date:
03/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DURAN
Authorized Official First Name:
CUIDUVEL
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR EJECUTIVO
Authorized Official Telephone Number:
787-945-1472

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 00433 . This is a "SERV. MED Y LAB AH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4551-1 . This is a "GENERALISTA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 9220056 . This is a "SER. MED. Y LAB HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S186 . This is a "DERMATOLOGO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 66043348117 . This is a "LABORATORIO MCS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40170 . This is a "PMC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 81457 . This is a "SERVICIO MEDICO TS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 101236 . This is a "SERV. MED Y LAB CA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4551-3 . This is a "LABORATORIO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 992356 . This is a "SERV. MED Y LAB MMM" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S184 . This is a "GENERALISTA IMC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S185 . This is a "GINECOLOGO OBSTETRA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 30346 . This is a "LABORATORIO TS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 4551-5 . This is a "ESPECIALISTAS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 66043348114 . This is a "SERVICIO MEDICO MCS" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S183 . This is a "LABORATORIO IMC" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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