Provider Demographics
NPI:1902294127
Name:CENTRO MEDICO DEL TURABO, INC.
Entity Type:Organization
Organization Name:CENTRO MEDICO DEL TURABO, INC.
Other - Org Name:HIMA SAN PABLO - CUPEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:SR
Authorized Official - Credentials:JD
Authorized Official - Phone:787-653-3434
Mailing Address - Street 1:PMB 250
Mailing Address - Street 2:138 WINSTON CHURCHILL AVE.
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:787-761-8383
Mailing Address - Fax:787-748-2065
Practice Address - Street 1:CARR. 844, KM. 0.5
Practice Address - Street 2:CUPEY BAJO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00928
Practice Address - Country:US
Practice Address - Phone:787-761-8383
Practice Address - Fax:787-748-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-23
Last Update Date:2014-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital