Provider Demographics
NPI:1164813853
Name:CARIBBEAN PAIN INSTITUTE PSC
Entity Type:Organization
Organization Name:CARIBBEAN PAIN INSTITUTE PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO - PAIN MANAGEMENT PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:E
Authorized Official - Last Name:CALVO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-675-6200
Mailing Address - Street 1:400 CARR 176 APT 205
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6677
Mailing Address - Country:US
Mailing Address - Phone:787-675-6200
Mailing Address - Fax:787-272-5196
Practice Address - Street 1:400 CARR 176 APT 205
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6677
Practice Address - Country:US
Practice Address - Phone:787-675-6200
Practice Address - Fax:787-272-5196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-17
Last Update Date:2015-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18,242261QP3300X, 261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation