Organization Name: | COSTA SALUD COMMUNITY HEALTH CENTER |
NPI Number: | 1093743023 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSANA M PEREZ (EXECUTIVE DIRECTOR) |
Mailing Address: | Munoz Rivera Street #28 Rincon |
State: | PR US |
Postal Code: | 006770638 |
Phone Number: | 7878235555 |
Fax Number: | 7878232390 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 09/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3336C0002X |
License Number: | 07-F-0059 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Pharmacy |
Taxonomy Specialization: | Clinic Pharmacy |
Taxonomy Definition: | A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |