Provider Demographics
NPI:1396873212
Name:DORADO HEALTH INC
Entity type:Organization
Organization Name:DORADO HEALTH INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ CORDEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-621-3700
Mailing Address - Street 1:PO BOX 1142
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1142
Mailing Address - Country:US
Mailing Address - Phone:787-621-3700
Mailing Address - Fax:787-621-3714
Practice Address - Street 1:URB ATENAS HERNANDEZ CARRION ST
Practice Address - Street 2:NUMBER 668
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674-4658
Practice Address - Country:US
Practice Address - Phone:787-854-3700
Practice Address - Fax:787-621-3714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2014-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15-F-22883336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2084723OtherPK