Provider Demographics
NPI:1699786905
Name:CARITAS SAINT ELIZABETH'S MEDICAL CENTER
Entity type:Organization
Organization Name:CARITAS SAINT ELIZABETH'S MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CLAROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:617-789-2442
Mailing Address - Street 1:11 NEVINS ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-3514
Mailing Address - Country:US
Mailing Address - Phone:617-789-2442
Mailing Address - Fax:617-789-4207
Practice Address - Street 1:11 NEVINS ST
Practice Address - Street 2:SUITE 201
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02135-3514
Practice Address - Country:US
Practice Address - Phone:617-789-2442
Practice Address - Fax:617-789-4207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228884282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital