Provider Demographics
NPI:1588058192
Name:OXILOGICS
Entity type:Organization
Organization Name:OXILOGICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:M
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-892-9944
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-0966
Mailing Address - Country:US
Mailing Address - Phone:787-892-9944
Mailing Address - Fax:787-264-5544
Practice Address - Street 1:CARR 2 KM 173.4 TORRE SAN VICENTE DE PAUL
Practice Address - Street 2:PRIMER PISO SUITE 103
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-9303
Practice Address - Country:US
Practice Address - Phone:787-892-9944
Practice Address - Fax:787-264-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service