Provider Demographics
NPI:1124354816
Name:HUTIMA
Entity type:Organization
Organization Name:HUTIMA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:SOLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-754-1059
Mailing Address - Street 1:1700 SANTA AGUEDA
Mailing Address - Street 2:URB SAN GERARDO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-754-1059
Mailing Address - Fax:
Practice Address - Street 1:1700 SANTA AGUEDA 1700
Practice Address - Street 2:URB SAN GERARDO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-754-1059
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRUPO MEDICO FAMILIAR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-10-30
Last Update Date:2009-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service