| Organization Name: | CENTRO CLINICO SHEILIA, INC |
| NPI Number: | 1407143720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CESAR I VARGAS QUINONES (PRESIDENTE) |
| Mailing Address: | 424 Suite Num 2 Emerito Estrada Ave San Sebastian |
| State: | PR US |
| Postal Code: | 00685 |
| Phone Number: | 7872803005 |
| Fax Number: | 7872803005 |
| NPI Enumeration Date: | 07/07/2011 |
| NPI Last Update Date: | 07/07/2011 |
| 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: | |