Provider Demographics
NPI:1528884566
Name:CLINICAL INFECTIOUS DISEASES CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:CLINICAL INFECTIOUS DISEASES CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SARIMER
Authorized Official - Middle Name:MARGARITA
Authorized Official - Last Name:SANCHEZ GORBEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-379-4798
Mailing Address - Street 1:PO BOX 262326
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-2655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1462 CALLE PROF AUGUSTO RODRIGUEZ
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2145
Practice Address - Country:US
Practice Address - Phone:787-726-2052
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty