| Organization Name: | CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC. |
| NPI Number: | 1164532792 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXANDER HUERTAS (ASSISTANT ADMINISTRATOR) |
| Mailing Address: | 99 Guillermo Riefkohl Street Patillas |
| State: | PR US |
| Postal Code: | 007230697 |
| Phone Number: | 7878394320 |
| Fax Number: | 7872710004 |
| NPI Enumeration Date: | 08/30/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | TCAMB-244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |