Provider Demographics
NPI:1588911101
Name:INSTITUTO MEDICO DEL TURABO INC
Entity type:Organization
Organization Name:INSTITUTO MEDICO DEL TURABO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:IRIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:LASANTA RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-746-0229
Mailing Address - Street 1:PO BOX 6411
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6411
Mailing Address - Country:US
Mailing Address - Phone:787-746-0229
Mailing Address - Fax:
Practice Address - Street 1:CALLE PINO H 29
Practice Address - Street 2:VILLA TURABO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-746-0229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty