Organization Name: | NAVARRO HEALTH CENTER PSC |
NPI Number: | 1114190436 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MIGUEL A DAVILA MORALES (PRESIDENTE) |
Mailing Address: | Parcela 229 Bo. Navarro Calle 1 Gurabo |
State: | PR US |
Postal Code: | 00778 |
Phone Number: | 7877472081 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 12/02/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15988 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |