Provider Demographics
NPI:1164683637
Name:CLENDO OCCUPATIONAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CLENDO OCCUPATIONAL HEALTH SERVICES INC
Other - Org Name:CLENDO OCCUPATIONAL HEALTH SERVICES INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:ADMISTRADOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-246-3440
Mailing Address - Street 1:58 CALLE SANTA CRUZ
Mailing Address - Street 2:PO BOX 549
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-7020
Mailing Address - Country:US
Mailing Address - Phone:787-720-9095
Mailing Address - Fax:
Practice Address - Street 1:58 CALLE SANTA CRUZ
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7020
Practice Address - Country:US
Practice Address - Phone:787-720-9095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLENDO OCCUPATIONAL SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty