Provider Demographics
NPI:1154443034
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity Type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:LABORATIO DE SALUD PUBLICA DE PUERTO RICO/OCASET
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR EXECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:CUIDUVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-745-1472
Mailing Address - Street 1:PO BOX 193044
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-3044
Mailing Address - Country:US
Mailing Address - Phone:787-945-1472
Mailing Address - Fax:787-250-9265
Practice Address - Street 1:LABORATORIO SALUD PUBLICA DE P.R.
Practice Address - Street 2:EDIFICIO A BO MONACILLO
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-274-5766
Practice Address - Fax:787-274-5711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR101237OtherCAGUAS
PRS005OtherMAYAGUEZ
PRS006OtherCAGUAS
PR101241OtherPONCE
PRS001OtherARECIBO
PRS004OtherPONCE
PR101238OtherFAJARDO
PR101240OtherCLETS
PR40D0672312OtherCLIA
PR5066OtherPROSSAM
PRS183OtherCLETS
PR051756OtherMAYAGUEZ
PR101235OtherBAYAMON
PR101240OtherCAROLINA
PRS003OtherCAROLINA
PR101239OtherHUMACAO
PR660433481-17OtherMCS COMERCIAL REFORMA ADV
PRS002OtherBAYAMON
PR30346OtherTRIPLE S C
PR101234OtherARECIBO