CORDA OF PR INC; NPI #1720379704

Contact Information

CORDA OF PR INC

CARR 910 INT KM 4.3 BO CATANO
HUMACAO, PR 00792

Phone: 787-636-4741
Fax: 787-285-1890
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for CORDA OF PR INC

NPI Number 1720379704

LBN Legal business name CORDA OF PR INC

Authorized official GILBERT RODRIGUEZ - (CEO)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/26/2011

Last updated 04/26/2011 - About 15 years ago

Identifiers

License #

CTRSA-0243

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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