Organization Name: | ROSARIO MEDICAL SERVICES CSP |
NPI Number: | 1508095043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUBEN D. ROSARIO (DIRECTOR) |
Mailing Address: | Carretera 116 Km 2.0 Bo. Sabana Yegua, Sector Canira 37 Lajas |
State: | PR US |
Postal Code: | 006672061 |
Phone Number: | 7878992865 |
Fax Number: | 7878083983 |
NPI Enumeration Date: | 07/06/2009 |
NPI Last Update Date: | 07/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 14435 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |