Provider Demographics
NPI:1033321112
Name:CENTRO DE MEDICINA FAMILIAR SALINAS INC.
Entity Type:Organization
Organization Name:CENTRO DE MEDICINA FAMILIAR SALINAS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JORGE
Authorized Official - Middle Name:L
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-824-1934
Mailing Address - Street 1:16 CALLE RAFAEL OCASIO
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:PR
Mailing Address - Zip Code:00751-3238
Mailing Address - Country:US
Mailing Address - Phone:787-824-1934
Mailing Address - Fax:787-824-4123
Practice Address - Street 1:16 CALLE RAFAEL OCASIO
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00751-3238
Practice Address - Country:US
Practice Address - Phone:787-824-1934
Practice Address - Fax:787-824-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization