Organization Name: | GO FREE HEMORRHOID PAIN LESS CENTER, INC. |
NPI Number: | 1376877001 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOAQUIN GUZMAN LOPEZ (CORP. EXECUTIVE OFICER) |
Mailing Address: | 2008 Ave Pedro Albizu Suite #5 Aguadilla |
State: | PR US |
Postal Code: | 006032008 |
Phone Number: | 7818917788 |
Fax Number: | 7878191015 |
NPI Enumeration Date: | 09/29/2009 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |