1992049522 NPI number — CLINICA DE SERVICIOS DE ORTODONCIA,CSP

Table of content: (NPI 1992049522)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992049522 NPI number — CLINICA DE SERVICIOS DE ORTODONCIA,CSP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CLINICA DE SERVICIOS DE ORTODONCIA,CSP
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:
1992049522
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 39
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AGUADILLA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00605-0039
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-891-1338
Provider Business Mailing Address Fax Number:
787-891-2266

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 AVE PEDRO ALBIZU CAMPOS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-5723
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-891-1338
Provider Business Practice Location Address Fax Number:
787-891-2266
Provider Enumeration Date:
11/20/2012

Additional Information

Authorized Official

Authorized Official Last Name:
VALENTIN
Authorized Official First Name:
PEDRO
Authorized Official Middle Name:
ERNESTO
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-891-1338

Provider Taxonomy Codes

  • Taxonomy code: 261QD0000X , with the licence number:  1382 , 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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