Organization Name: | CJA CAYEY INC. |
NPI Number: | 1659660694 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSE O. ALVAREZ (OWNER) |
Mailing Address: | Calle Luis Barreras # 174 Cayey |
State: | PR US |
Postal Code: | 00936 |
Phone Number: | 7877381866 |
Fax Number: | 7877381860 |
NPI Enumeration Date: | 03/30/2011 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 12060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |