Provider Demographics
NPI:1003966581
Name:CENTRO DE EMERGENCIA Y CUIDADO
Entity Type:Organization
Organization Name:CENTRO DE EMERGENCIA Y CUIDADO
Other - Org Name:CENTRO DE EMERGENCIA Y CUIDADO MEDICO DEL SUR, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PADRO
Authorized Official - Suffix:
Authorized Official - Credentials:RPH
Authorized Official - Phone:787-836-4554
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-0008
Mailing Address - Country:US
Mailing Address - Phone:787-836-4554
Mailing Address - Fax:787-836-1396
Practice Address - Street 1:BO CUEVAS CARR 385 KM. 0.5
Practice Address - Street 2:SUITE 110
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624
Practice Address - Country:US
Practice Address - Phone:787-836-4554
Practice Address - Fax:787-836-1396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR81282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0084800Medicare PIN