Provider Demographics
NPI:1942617329
Name:ADONAI HEALTH CENTER, INC
Entity type:Organization
Organization Name:ADONAI HEALTH CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:GRISEIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAZQUEZ COLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-646-2305
Mailing Address - Street 1:BARRIO GATO
Mailing Address - Street 2:CARR 155 KM 31.5
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720
Mailing Address - Country:US
Mailing Address - Phone:787-646-2305
Mailing Address - Fax:
Practice Address - Street 1:CARR 155 KM 31.5
Practice Address - Street 2:BARRIO GATO
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720-0000
Practice Address - Country:US
Practice Address - Phone:787-646-2305
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-17
Last Update Date:2014-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR207240261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center