Organization Name: | CENTRO CESKI C S P |
NPI Number: | 1194959122 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE ANGEL SANTIAGO (MEDICAL DIRECTOR) |
Mailing Address: | 602 Calle Jose V Rodriguez Penuelas |
State: | PR US |
Postal Code: | 006241807 |
Phone Number: | 7878363288 |
Fax Number: | 7878363288 |
NPI Enumeration Date: | 05/05/2009 |
NPI Last Update Date: | 06/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | 8333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |