Provider Demographics
NPI:1073635884
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity Type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:CPTET BAYAMON CENTRO DE PREVENCION Y TRATAMIENTO DE ENFERNEDADES TRANS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR EXECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:CIREDUVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-945-1472
Mailing Address - Street 1:#100 URBANIZAUOR SANTA JUANITA
Mailing Address - Street 2:AVENIDA LAUREL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4816
Mailing Address - Country:US
Mailing Address - Phone:787-765-2929
Mailing Address - Fax:787-778-1209
Practice Address - Street 1:HOSPITAL DR. RAMON RUIZ ANAU
Practice Address - Street 2:#100 URB. SANTA JUANITA AVE. LAUREL
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-4806
Practice Address - Country:US
Practice Address - Phone:787-778-1209
Practice Address - Fax:787-778-1209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660433481-17OtherLAB
PRS212OtherGENERALISTA
PR40172OtherMEDICO Y LAB
PRS292OtherINTERNISTA
PRS349OtherPEDIATRA
PRS411OtherINFECTEOLOGO
PR30346OtherLAB
PR4091-5OtherINFECTOLOGO
PRS002OtherLABORATORIO
PR4091-1OtherGENERALISTA
PR660433481-13HOtherINFECTOLOGO
PR660433481-13TOtherPEDIATRA
PR660433481-13KOtherGENERALISTA
PR4091-3OtherLAB
PR660433481-13LOtherINTERNISTA
PR81454OtherMEDICO
PR101235OtherMEDICO Y LAB
PR7400001OtherMEDICO Y LAB
PR992358OtherMEDICO Y LAB
PRS411OtherINFECTEOLOGO