Organization Name: | CENTRO SERVICIOS DE SALUD TOA ALTA, LLC |
NPI Number: | 1104206069 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HEC M RIVERA (DIRECTOR) |
Mailing Address: | 16 Calle Barcelo Toa Alta |
State: | PR US |
Postal Code: | 00953 |
Phone Number: | 7875208449 |
Fax Number: | |
NPI Enumeration Date: | 06/05/2015 |
NPI Last Update Date: | 12/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Emergency Care |
Taxonomy Definition: |