Organization Name: | RECINTO UNIVERSITARIO DE MAYAGUEZ |
NPI Number: | 1134244577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JORGE I RIVERA SANTOS (CHANCELLOR) |
Mailing Address: | 259 Alfonso Valdez Blvd. Health Services Department Rum Mayaguez |
State: | PR US |
Postal Code: | 00680 |
Phone Number: | 7872653865 |
Fax Number: | 7878341538 |
NPI Enumeration Date: | 03/21/2007 |
NPI Last Update Date: | 10/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 37 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |