Organization Name: | CENTRO DIAGNOSTICO Y TRATAMIENTO DR CAPARROS INC. |
NPI Number: | 1659330884 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARISOL GONZALEZ (EXECUTIVE DIRECTOR) |
Mailing Address: | Calle Betances 2 Utuado |
State: | PR US |
Postal Code: | 00641 |
Phone Number: | 7878942288 |
Fax Number: | 7878945731 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 06/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 76 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |