Provider Demographics
NPI:1114017845
Name:INSTITUTO LATINOAMERICANO
Entity Type:Organization
Organization Name:INSTITUTO LATINOAMERICANO
Other - Org Name:CLINICA DR. PADRO Y ASOC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:PADRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-792-8383
Mailing Address - Street 1:CARR. 2 M-239
Mailing Address - Street 2:VILLA CAPARRA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966
Mailing Address - Country:US
Mailing Address - Phone:787-792-8383
Mailing Address - Fax:787-792-8778
Practice Address - Street 1:CARR. 2 M-239
Practice Address - Street 2:VILLA CAPARRA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966
Practice Address - Country:US
Practice Address - Phone:787-792-8383
Practice Address - Fax:787-792-8778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health