Provider Demographics
NPI:1316489537
Name:CDT CABO ROJO MEDICAL CENTER
Entity type:Organization
Organization Name:CDT CABO ROJO MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:EDRICK
Authorized Official - Middle Name:N
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1787-895-6315
Mailing Address - Street 1:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-0938
Mailing Address - Country:US
Mailing Address - Phone:787-895-6315
Mailing Address - Fax:
Practice Address - Street 1:311 CARRETERA 102 ESQUINA
Practice Address - Street 2:BARRIO PUEBLO
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-895-6315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-07
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care