Provider Demographics
NPI:1215061148
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:CUIDUVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-945-1472
Mailing Address - Street 1:PO BOX 193044
Mailing Address - Street 2:
Mailing Address - City:SAN JAUN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-3044
Mailing Address - Country:US
Mailing Address - Phone:787-945-1472
Mailing Address - Fax:787-250-9265
Practice Address - Street 1:PREDIOS CENTRO MEDICO MAYAGUEZ
Practice Address - Street 2:410 AVE HOSTOS CARR. # 22
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1522
Practice Address - Country:US
Practice Address - Phone:787-834-2110
Practice Address - Fax:787-832-6015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660433481-17OtherLAB
PR660433481-7MOtherNEUMOLOGIA
PRS005OtherLAB
PR660433481-7IOtherINFECTOLOGIA PEDIATRICA
PR051756OtherLAB
PR065113OtherMEDICO
PR660433481-7HOtherINFECTOLOGO
PRS852OtherINFECTOLOGO
PR40175OtherMEDICO Y LAB
PRS853OtherINFECTOLOGO PEDIATRICO
PR00433 CPTMOtherMEDICO Y LABOARATORIO
PR30346OtherLAB
PR3406OtherMEDICO Y LAB
PR6800185OtherMEDICO Y LAB
PRS854OtherNEUMOLOGO
PR234048OtherMEDICO Y LAB
PR81451OtherMEDICO
PR40175OtherMEDICO Y LAB