1508107673 NPI number — HYPERBARIC SKIN AND HEALTH CLINIC INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1508107673 NPI number — HYPERBARIC SKIN AND HEALTH CLINIC INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HYPERBARIC SKIN AND HEALTH CLINIC 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:
1508107673
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
URB. SAN FRANCISCO
Provider Second Line Business Mailing Address:
113 CALLE JAZMIN
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PUERTO RICO
Provider Business Mailing Address Postal Code:
00927
Provider Business Mailing Address Country Code:
UM
Provider Business Mailing Address Telephone Number:
787-249-4499
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE. 65 DE INFANTERIA, KM. 8.3
Provider Second Line Business Practice Location Address:
HOSPITAL UNIVERSITARIO UPR (DR. FEDERICO TRILLA)LEVEL B
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-249-4499
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2013

Additional Information

Authorized Official

Authorized Official Last Name:
SUAREZ
Authorized Official First Name:
SURIMA
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-249-4499

Provider Taxonomy Codes

  • Taxonomy code: 261QM1300X , 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)





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