| Organization Name: | CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE RIO GRANDE |
| NPI Number: | 1225429533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDUARDO SOTOMAYOR (ADMINISTRATOR) |
| Mailing Address: | Numero 200 Calle Manuel Pimentel Y Castro Rio Grande |
| State: | PR US |
| Postal Code: | 00745 |
| Phone Number: | 7878010081 |
| Fax Number: | |
| NPI Enumeration Date: | 02/09/2015 |
| NPI Last Update Date: | 02/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |