Provider Demographics
NPI:1538597596
Name:RECINTO DE CIENCIAS MEDICAS
Entity type:Organization
Organization Name:RECINTO DE CIENCIAS MEDICAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NOEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:SOTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-757-6420
Mailing Address - Street 1:PO BOX 29207
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0207
Mailing Address - Country:US
Mailing Address - Phone:787-757-6420
Mailing Address - Fax:787-757-0520
Practice Address - Street 1:AVE 65 INFANTERIA
Practice Address - Street 2:CARRETERA# 3 KM 8.3
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-7627
Practice Address - Country:US
Practice Address - Phone:787-757-6420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RECINTO DE CIENCIAS MEDICAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty