National Provider Identifier Database

CENTRO DE SERVICIOS MEDICOS DE PENA POBRE
Public Health, State or Local


Contact Information

CENTRO DE SERVICIOS MEDICOS DE PENA POBRE
STREET 31
192
NAGUABO, PR00718
Phone: 787-874-3037
Fax: 787-874-3037
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for CENTRO DE SERVICIOS MEDICOS DE PENA POBRE

NPI Number 1689619660
Legal business name
LBN
CENTRO DE SERVICIOS MEDICOS DE PENA POBRE
Authorized official GLADYS POMALES - (ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 06/16/2006
Last updated 08/17/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers
  • PR License #: 30673
  • PR Other: 00409 AMERICAN HEALTH
  • PR Other: 9001119 CRUZ AZUL DE PUERTO RICO
  • PR Other: 6701184 HUMANA
  • PR Other: 201648 PREFERRED HEALTH
  • PR Other: 2991-1 PROSAM
  • PR Other: 89681 TRIPLE S

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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