Provider Demographics
NPI:1760463970
Name:CENTRO NEUMOLOGICO DEL OESTE
Entity type:Organization
Organization Name:CENTRO NEUMOLOGICO DEL OESTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:OSCAR
Authorized Official - Last Name:CARDONA-RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-805-1032
Mailing Address - Street 1:CPR PROFESSIONAL BUILDING
Mailing Address - Street 2:55 CALLE DE DIEGO ESTE SUITE 401
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-5081
Mailing Address - Country:US
Mailing Address - Phone:787-805-1032
Mailing Address - Fax:787-265-4335
Practice Address - Street 1:55 CALLE DE DIEGO E
Practice Address - Street 2:SUITE 401
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-5078
Practice Address - Country:US
Practice Address - Phone:787-805-1032
Practice Address - Fax:787-265-4335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-07
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0083980Medicare ID - Type Unspecified