Provider Demographics
NPI:1902136609
Name:MUNICIPIO DE GUAYANILLA
Entity Type:Organization
Organization Name:MUNICIPIO DE GUAYANILLA
Other - Org Name:RADIOLOGIA CDTISAIAS RODRIGUEZ LOPEZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY MAYOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EDGARDO
Authorized Official - Middle Name:
Authorized Official - Last Name:ARLEQUIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-835-6605
Mailing Address - Street 1:13 CALLE JOSE DE DIEGO
Mailing Address - Street 2:
Mailing Address - City:GUAYANILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00656-0550
Mailing Address - Country:US
Mailing Address - Phone:787-835-5366
Mailing Address - Fax:787-835-5366
Practice Address - Street 1:13 CALLE JOSE DE DIEGO
Practice Address - Street 2:
Practice Address - City:GUAYANILLA
Practice Address - State:PR
Practice Address - Zip Code:00656-0550
Practice Address - Country:US
Practice Address - Phone:787-835-5366
Practice Address - Fax:787-835-5366
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUNICIPIO DE GUAYANILLA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-01-04
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology