Provider Demographics
NPI:1093250953
Name:PUERTO RICO HIP INSTITUTE LLC
Entity Type:Organization
Organization Name:PUERTO RICO HIP INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIEL
Authorized Official - Middle Name:D
Authorized Official - Last Name:DAVILA-PARRILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-602-7277
Mailing Address - Street 1:300 AVE LA SIERRA APT 99
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4339
Mailing Address - Country:US
Mailing Address - Phone:787-602-7277
Mailing Address - Fax:
Practice Address - Street 1:300 AVE LA SIERRA APT 99
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-4339
Practice Address - Country:US
Practice Address - Phone:787-602-7277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-03
Last Update Date:2017-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty