Provider Demographics
NPI:1386953909
Name:REDES DEL SURESTE
Entity type:Organization
Organization Name:REDES DEL SURESTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:RIEGA
Authorized Official - Last Name:TROYA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-705-6550
Mailing Address - Street 1:PMB 318 JUAN C BORBON
Mailing Address - Street 2:SUITE #67
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-625-2500
Mailing Address - Fax:787-625-0429
Practice Address - Street 1:CALLE 149 KM 58.9 BO. TIERRA SANTA
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-705-6550
Practice Address - Fax:787-705-7924
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-30
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty