1609958446 NPI number — SOCIEDAD DE SERVICIOS NEONATALES DE ARECIBO

Table of content: (NPI 1609958446)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609958446 NPI number — SOCIEDAD DE SERVICIOS NEONATALES DE ARECIBO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOCIEDAD DE SERVICIOS NEONATALES DE ARECIBO
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:
1609958446
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
07/17/2007
NPI Reactivation Date:
09/19/2007

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 141418
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARECIBO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00614
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-880-6263
Provider Business Mailing Address Fax Number:
787-880-6263

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVENIDA SAN LUIS CARR 129 KM1
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-878-7272
Provider Business Practice Location Address Fax Number:
787-878-7272
Provider Enumeration Date:
10/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
JINEAM
Authorized Official Middle Name:
Authorized Official Title or Position:
ASISTAND ADMINISTRATOR
Authorized Official Telephone Number:
787-880-6263

Provider Taxonomy Codes

  • Taxonomy code: 2080N0001X ; 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