Organization Name: | ASOCIACION DE SERVIOS MEDICOS PRIVADOS DE UTUADO INC |
NPI Number: | 1528368982 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ISAAC SANTIAGO (PRESIDENT) |
Mailing Address: | Ave. Fernando Rivas Dominichi Km 1.8 Utuado |
State: | PR US |
Postal Code: | 00641 |
Phone Number: | 7878946136 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |