1598989527 NPI number — CENTROS DE PREVENCION TRATAMIENTO DE ENFERMEDADES TRANSMISIBLES

Table of content: (NPI 1598989527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598989527 NPI number — CENTROS DE PREVENCION TRATAMIENTO DE ENFERMEDADES TRANSMISIBLES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTROS DE PREVENCION TRATAMIENTO DE ENFERMEDADES TRANSMISIBLES
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:
CLINICA INMUNOLOGICA DE HUMACAO
Provider Other Organization Name Type Code:
5
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:
1598989527
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:
CLINICA INMUNOLOGICA DE HUMACAO
Provider Second Line Business Mailing Address:
BOX 8548
Provider Business Mailing Address City Name:
CAGUAS
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00726-8548
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-704-7066
Provider Business Mailing Address Fax Number:
787-746-2896

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
100 CALLE FONT MARTELO W
Provider Second Line Business Practice Location Address:
CLINICA INMUNOLOGICA DE HUMACAO LOCAL 13Y14
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791-3923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-704-7066
Provider Business Practice Location Address Fax Number:
787-746-2896
Provider Enumeration Date:
04/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
CARMEN
Authorized Official Middle Name:
R
Authorized Official Title or Position:
DIRETOR EJECUTIVA
Authorized Official Telephone Number:
787-771-2100

Provider Taxonomy Codes

  • Taxonomy code: 261QH0100X , 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: 101239 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7250066 . This is a "MEDICO Y LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-16 . This is a "MEDICO" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 30346 . This is a "LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481-17 . This is a "LAB" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




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