Provider Demographics
NPI:1154889400
Name:CENTRO INTEGRAL Y PREVENTIVO DE SALUD (CIPRES), INC
Entity type:Organization
Organization Name:CENTRO INTEGRAL Y PREVENTIVO DE SALUD (CIPRES), INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-714-2288
Mailing Address - Street 1:PO BOX 373471
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-3471
Mailing Address - Country:US
Mailing Address - Phone:787-714-2288
Mailing Address - Fax:787-739-5800
Practice Address - Street 1:CARR 734 KM 0.7 BO ARENAS
Practice Address - Street 2:CIDRA PROFESSIONAL CENTER OFFICE 5
Practice Address - City:CIDRA
Practice Address - State:PR
Practice Address - Zip Code:00739
Practice Address - Country:US
Practice Address - Phone:787-714-2288
Practice Address - Fax:787-739-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service