Provider Demographics
NPI:1215087481
Name:CENTRO DE EMERGENCIA Y CUIDADO
Entity type:Organization
Organization Name:CENTRO DE EMERGENCIA Y CUIDADO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-836-2669
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-0008
Mailing Address - Country:US
Mailing Address - Phone:787-836-2669
Mailing Address - Fax:787-836-1396
Practice Address - Street 1:BO CUEVAS CARR. 385 KM.0.5
Practice Address - Street 2:SUITE 100
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-836-2669
Practice Address - Fax:787-836-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1069291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0031409Medicare PIN