Provider Demographics
NPI:1073842308
Name:CENTRO ESPECIALIZADO EN LA MUJER
Entity Type:Organization
Organization Name:CENTRO ESPECIALIZADO EN LA MUJER
Other - Org Name:C.E.M
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF C.E.M
Authorized Official - Prefix:
Authorized Official - First Name:AIXA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-735-8001
Mailing Address - Street 1:PO BOX 373130
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-3130
Mailing Address - Country:US
Mailing Address - Phone:787-535-1001
Mailing Address - Fax:787-535-1021
Practice Address - Street 1:URB VILLA ROSALES
Practice Address - Street 2:CALLE DR TROYER A1
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-8001
Practice Address - Fax:787-535-1021
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MENNONITE GENERAL HOSPITAL, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center