Provider Demographics
NPI:1396244877
Name:CAGUAS AMBULATORY SURGICAL CENTER, INC
Entity type:Organization
Organization Name:CAGUAS AMBULATORY SURGICAL CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO / ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-376-8354
Mailing Address - Street 1:48 CARR 165 STE 1010
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-8080
Mailing Address - Country:US
Mailing Address - Phone:787-376-8354
Mailing Address - Fax:
Practice Address - Street 1:CARR 156 KM 60.1
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:07256
Practice Address - Country:US
Practice Address - Phone:787-376-8354
Practice Address - Fax:787-376-8354
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-09
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical