Provider Demographics
NPI:1194571554
Name:DORADO HEALTH DNP
Entity type:Organization
Organization Name:DORADO HEALTH DNP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCCLAMMY
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, APRN
Authorized Official - Phone:303-829-0170
Mailing Address - Street 1:METRO OFFICE PARK 7 CALLE 1, STE 204 GUAYNABO, PR 0096
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00646
Mailing Address - Country:US
Mailing Address - Phone:303-829-0170
Mailing Address - Fax:
Practice Address - Street 1:METRO OFFICE PARK 7 CALLE 1, STE 204 GUAYNABO, PR 0096
Practice Address - Street 2:
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:303-829-0170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care