Provider Demographics
NPI:1972561025
Name:AMERICAN SLEEP CENTERS INC
Entity type:Organization
Organization Name:AMERICAN SLEEP CENTERS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:TECHINCAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-292-3780
Mailing Address - Street 1:# 405 ESMERALDA AVE.
Mailing Address - Street 2:PMB 353 SUITE 102
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-0969
Mailing Address - Country:US
Mailing Address - Phone:787-257-1220
Mailing Address - Fax:787-257-1220
Practice Address - Street 1:CARRETERA 3 KM. 8.3, AVE. 65 DE INFANTERIA
Practice Address - Street 2:HOSPITAL UPR DR. FEDERICO TRILLA, PISO 1
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-257-1220
Practice Address - Fax:787-257-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-01
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152260293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR767033OtherSERVICIOS DE SALUD BELLA
PR217107OtherPREFERED HEALTH
PR6800276OtherHUMANA
PR660657003OtherCIGNA