Provider Demographics
NPI:1184827370
Name:CENTRO DE DIAGNOSTICO Y TRATAMIENTO ADJUNTAS
Entity Type:Organization
Organization Name:CENTRO DE DIAGNOSTICO Y TRATAMIENTO ADJUNTAS
Other - Org Name:CDT ADJUNTAS
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTORA EJECUTIVA
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:787-771-2100
Mailing Address - Street 1:CALLE DR. DEFENDINI # 4
Mailing Address - Street 2:
Mailing Address - City:ADJUNTAS
Mailing Address - State:PR
Mailing Address - Zip Code:00601
Mailing Address - Country:US
Mailing Address - Phone:787-829-2860
Mailing Address - Fax:
Practice Address - Street 1:CALLE DR. DEFENDINI # 4
Practice Address - Street 2:
Practice Address - City:ADJUNTAS
Practice Address - State:PR
Practice Address - Zip Code:00601
Practice Address - Country:US
Practice Address - Phone:787-829-2860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR030724OtherE R
PR6604363425AOtherE R
PR00384OtherE R
PR19075OtherE R
PR600271OtherE R
PRS586OtherE R
PR40148OtherE R
PR1000012OtherE R
PR09912OtherE R
PR6010028OtherE R
PRSH00401OtherE R
PR1000012OtherE R
PR19075OtherE R