Provider Demographics
NPI:1194039982
Name:CENTROS ALIADOS DE SALUD INC
Entity Type:Organization
Organization Name:CENTROS ALIADOS DE SALUD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:S
Authorized Official - Last Name:MOYKA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-795-4810
Mailing Address - Street 1:PO BOX 51513
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00950-1513
Mailing Address - Country:US
Mailing Address - Phone:787-795-4810
Mailing Address - Fax:
Practice Address - Street 1:HF 16 LIZZIE GRAHAM SEPTIMA SEC LEVITTOWN
Practice Address - Street 2:
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00950
Practice Address - Country:US
Practice Address - Phone:787-795-4810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-04
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0850078261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center