Organization Name: | OJOS PUERTO RICO SERVICIOS CLINICOS PSC |
NPI Number: | 1093030355 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OSCAR ALEJANDRO HERNANDEZ (CEO) |
Mailing Address: | 111 Ave Munoz Rivera E P1 A1 Suite 2 Camuy |
State: | PR US |
Postal Code: | 006272630 |
Phone Number: | 7874032791 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2010 |
NPI Last Update Date: | 03/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15856 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |