Provider Demographics
NPI:1104637966
Name:COMPLETE MEDICAL HEALTHCARE CENTER
Entity type:Organization
Organization Name:COMPLETE MEDICAL HEALTHCARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ OCANA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-601-3729
Mailing Address - Street 1:PO BOX 8243
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-8243
Mailing Address - Country:US
Mailing Address - Phone:787-601-3729
Mailing Address - Fax:
Practice Address - Street 1:7 AVE 65 INFANTERIA STE B1
Practice Address - Street 2:
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698-3567
Practice Address - Country:US
Practice Address - Phone:787-601-3729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty