| Organization Name: | CENTRO DE MEDICINA PREVENTIVA CERV,CSP |
| NPI Number: | 1922414812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RODRIGUEZ EULOGIO CARLOS (MEDICO) |
| Mailing Address: | 5 Calle Luis M Alfaro Orocovis |
| State: | PR US |
| Postal Code: | 007204467 |
| Phone Number: | 7878678085 |
| Fax Number: | 9392127459 |
| NPI Enumeration Date: | 07/11/2014 |
| NPI Last Update Date: | 07/28/2014 |
| 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: | |