Provider Demographics
NPI:1215053996
Name:INSTITUTO DE MEDICINA PRIMARIA Y URGENCIAS DEL SUR CSP
Entity type:Organization
Organization Name:INSTITUTO DE MEDICINA PRIMARIA Y URGENCIAS DEL SUR CSP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:DR
Authorized Official - First Name:HILDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORENGO SOLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-812-5522
Mailing Address - Street 1:CARR. 132 KM 18.2
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624
Mailing Address - Country:US
Mailing Address - Phone:787-284-0603
Mailing Address - Fax:787-812-5544
Practice Address - Street 1:CALLE MARINA 9105 ESQ FERROCARRIL
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-812-5522
Practice Address - Fax:787-812-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4277OtherREGISTRO