| Organization Name: | CENTRO ESPECIALIZADO EN SALUD SSVP, INC |
| NPI Number: | 1053397943 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CESAR IVAN VARGAS QUINONES (DUENO) |
| Mailing Address: | 4100 Ave Arcadio Estrada Ste 222 San Sebastian |
| State: | PR US |
| Postal Code: | 006853216 |
| Phone Number: | 7878963280 |
| Fax Number: | 7872800330 |
| NPI Enumeration Date: | 12/21/2005 |
| NPI Last Update Date: | 04/20/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12045 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |