1770703845 NPI number — DEPARTAMENTO DE SALUD OFICIAL

Table of content: (NPI 1770703845)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770703845 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:
1770703845
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P O BOX 326
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VIEQUES
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00765
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-741-0392
Provider Business Mailing Address Fax Number:
787-741-0398

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 997 KM 0 HM 1
Provider Second Line Business Practice Location Address:
BO DESTINO
Provider Business Practice Location Address City Name:
VIEQUES
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00765
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-741-0392
Provider Business Practice Location Address Fax Number:
787-741-0398
Provider Enumeration Date:
04/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MACKENZIE
Authorized Official First Name:
BETZAIDA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTORA MEDICA
Authorized Official Telephone Number:
787-741-2165

Provider Taxonomy Codes

  • Taxonomy code: 282NR1301X , with the licence number:  24 , 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: 00377 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 19087 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 19780 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660436342V . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 030736 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 40156 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: S904 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: SH00630 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 600221 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 09722 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 1000179 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660433481V . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 7650010 . This is a "HOSPITAL" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com