Provider Demographics
NPI:1043742711
Name:CLINICA SANTA FE
Entity Type:Organization
Organization Name:CLINICA SANTA FE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:B
Authorized Official - Last Name:OJEDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-249-2585
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:AGUIRRE
Mailing Address - State:PR
Mailing Address - Zip Code:00704-0326
Mailing Address - Country:US
Mailing Address - Phone:787-537-7555
Mailing Address - Fax:787-537-7104
Practice Address - Street 1:PORTO BELLO PLAZA
Practice Address - Street 2:SUITE 14
Practice Address - City:SALINAS
Practice Address - State:PR
Practice Address - Zip Code:00704-9991
Practice Address - Country:US
Practice Address - Phone:787-537-7555
Practice Address - Fax:787-537-7104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-31
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1275902827261QM0801X
PR1164891057261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)