| Organization Name: | CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE SAN SEBASTIAN INC |
| NPI Number: | 1164466363 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDUARDO RODRIGUEZ (PRESIDENT) |
| Mailing Address: | 3 Jose Mendez Cardona Ave. San Sebastian |
| State: | PR US |
| Postal Code: | 006850486 |
| Phone Number: | 7878961850 |
| Fax Number: | 7872801698 |
| NPI Enumeration Date: | 06/16/2006 |
| NPI Last Update Date: | 08/05/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |