Provider Demographics
NPI:1093030330
Name:MEDICOS DEL ESTE GRUPO UNIDOS
Entity Type:Organization
Organization Name:MEDICOS DEL ESTE GRUPO UNIDOS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARICARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCESCHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-852-2470
Mailing Address - Street 1:VILLA STATION
Mailing Address - Street 2:216 VILLA UNIVERSITARIA
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-852-2470
Mailing Address - Fax:787-285-4165
Practice Address - Street 1:CALLE JOSE CELSO BARBOSA
Practice Address - Street 2:SUITE 68
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771
Practice Address - Country:US
Practice Address - Phone:787-852-2470
Practice Address - Fax:787-285-4165
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-30
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty