Organization Name: | CARIBBEAN MEDICAL CORP. |
NPI Number: | 1083008700 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIGUEL ANZALOTA (ADMINISTRATOR) |
Mailing Address: | Carretera 115 Km 13.1 Rincon |
State: | PR US |
Postal Code: | 00677 |
Phone Number: | 7875020242 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2015 |
NPI Last Update Date: | 07/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology |
Taxonomy Definition: |