Organization Name: | DEPARTAMENTO DE SALUD OFICIAL |
NPI Number: | 1023169034 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GLORIA HERNANDEZ (EXECUTIVE DIRECTOR) |
Mailing Address: | University Pediatric Hospital Puerto Rico Medical Center, Rio Piedras |
State: | PR US |
Postal Code: | 009191079 |
Phone Number: | 7877773232 |
Fax Number: | 7877568907 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 05/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | 34CNC NUM92-168 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |