Provider Demographics
NPI:1235928698
Name:CLINICA TERAPEUTICA CIED LLC
Entity type:Organization
Organization Name:CLINICA TERAPEUTICA CIED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENCIADA
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:IVETTE
Authorized Official - Last Name:ESCALERA DAVILA
Authorized Official - Suffix:
Authorized Official - Credentials:PATOLOGA DEL HABLA
Authorized Official - Phone:787-397-8609
Mailing Address - Street 1:VILLA FONTANA 2VR 690
Mailing Address - Street 2:CALLE ANGELICA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983
Mailing Address - Country:US
Mailing Address - Phone:787-397-8609
Mailing Address - Fax:
Practice Address - Street 1:VILLA FONTANA 2VR 690
Practice Address - Street 2:CALLE ANGELICA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00983
Practice Address - Country:US
Practice Address - Phone:787-397-8609
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINICA TERAPEUTICA CIED LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Q00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, PathologyGroup - Multi-Specialty