Provider Demographics
NPI:1144358441
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:CUIDUVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-945-1472
Mailing Address - Street 1:#100 URBANIZACION SANTA JUANITA
Mailing Address - Street 2:AVENIDA LAUREL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4816
Mailing Address - Country:US
Mailing Address - Phone:787-754-8128
Mailing Address - Fax:787-754-8127
Practice Address - Street 1:PASEO CELSO BARBOSA PRIMER PISO HOSPITAL DE TRAUMA
Practice Address - Street 2:CENTRO MEDICO, BO. MONACILLOS, RIO PIEDRAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918
Practice Address - Country:US
Practice Address - Phone:787-754-8128
Practice Address - Fax:787-754-8127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR00433OtherSERV. MED Y LAB AH
PR4551-1OtherGENERALISTA
PR9220056OtherSER. MED. Y LAB HUMANA
PRS186OtherDERMATOLOGO
PR66043348117OtherLABORATORIO MCS
PR40170OtherPMC
PR81457OtherSERVICIO MEDICO TS
PR101236OtherSERV. MED Y LAB CA
PR4551-3OtherLABORATORIO
PR992356OtherSERV. MED Y LAB MMM
PRS184OtherGENERALISTA IMC
PRS185OtherGINECOLOGO OBSTETRA
PR30346OtherLABORATORIO TS
PR4551-5OtherESPECIALISTAS
PR66043348114OtherSERVICIO MEDICO MCS
PRS183OtherLABORATORIO IMC
PR9220056OtherSER. MED. Y LAB HUMANA
PR=========OtherOTHER