Provider Demographics
NPI:1033123476
Name:SERVICIOS GINECO-OBSTETRICOS DEL NORTE PSC
Entity Type:Organization
Organization Name:SERVICIOS GINECO-OBSTETRICOS DEL NORTE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARROYO-AGUIRRECHEA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-536-7352
Mailing Address - Street 1:PO BOX 2012
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-2012
Mailing Address - Country:US
Mailing Address - Phone:787-536-7352
Mailing Address - Fax:
Practice Address - Street 1:CALLE MARGINAL A 6
Practice Address - Street 2:URB. SAN SALVADOR
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-536-7352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty