1972561025 NPI number — AMERICAN SLEEP CENTERS INC

Table of content: (NPI 1972561025)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972561025 NPI number — AMERICAN SLEEP CENTERS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMERICAN SLEEP CENTERS 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:
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:
1972561025
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
# 405 ESMERALDA AVE.
Provider Second Line Business Mailing Address:
PMB 353 SUITE 102
Provider Business Mailing Address City Name:
GUAYNABO
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00969-0969
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-257-1220
Provider Business Mailing Address Fax Number:
787-257-1220

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARRETERA 3 KM. 8.3, AVE. 65 DE INFANTERIA
Provider Second Line Business Practice Location Address:
HOSPITAL UPR DR. FEDERICO TRILLA, PISO 1
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:
787-257-1220
Provider Business Practice Location Address Fax Number:
787-257-1220
Provider Enumeration Date:
05/01/2006

Additional Information

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
D.
Authorized Official Title or Position:
TECHINCAL DIRECTOR
Authorized Official Telephone Number:
630-292-3780

Provider Taxonomy Codes

  • Taxonomy code: 293D00000X , with the licence number:  152260 , 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: 767033 . This is a "SERVICIOS DE SALUD BELLA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 217107 . This is a "PREFERED HEALTH" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 6800276 . This is a "HUMANA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".
  • Identifier: 660657003 . This is a "CIGNA" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com