1184827370 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Table of content: (NPI 1184827370)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184827370 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:
1184827370
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
CALLE DR. DEFENDINI # 4
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ADJUNTAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00601
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-829-2860
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CALLE DR. DEFENDINI # 4
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ADJUNTAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-829-2860
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
PESANTE SANCHEZ
Authorized Official First Name:
YESAREL
Authorized Official Middle Name:
Authorized Official Title or Position:
SECRETARIO AUXILIAR II
Authorized Official Telephone Number:
787-765-2929

Provider Taxonomy Codes

  • Taxonomy code: 261QE0002X , 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: 09912 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S586 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: SH00401 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40148 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 600271 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1000012 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6604363425A . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 030724 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 19075 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6010028 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481A . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 00384 . This is a "E R" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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