Provider Demographics
NPI:1992724140
Name:DEPARTAMENTO DE SALUD
Entity type:Organization
Organization Name:DEPARTAMENTO DE SALUD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:YESAREL
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PESANTE SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LDCO
Authorized Official - Phone:787-765-6969
Mailing Address - Street 1:#100 AVENIDA LAUREL
Mailing Address - Street 2:URBANIZACION SANTA JUANITA
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4816
Mailing Address - Country:US
Mailing Address - Phone:787-787-5151
Mailing Address - Fax:787-787-7979
Practice Address - Street 1:#100 AVENIDA LAUREL
Practice Address - Street 2:URBANIZACION SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4816
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:787-787-7979
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEPARTAMENTO DE SALUD OFICIAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-19
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR037625800Medicaid