Organization Name: | CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC |
NPI Number: | 1083815120 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EDUARDO RODRIGUEZ (PRESIDENT) |
Mailing Address: | C Jose Mendez Cardona Numero 3 San Sebastian |
State: | PR US |
Postal Code: | 00685 |
Phone Number: | 7878961850 |
Fax Number: | 7872801698 |
NPI Enumeration Date: | 05/29/2007 |
NPI Last Update Date: | 08/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA1903X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ambulatory Surgical |
Taxonomy Definition: |