Provider Demographics
NPI:1255464293
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity Type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:CPTET PONCE/CENTRODE PREVENUOR Y TRATAMIENTO DE ENFERMEDADES TRANSMISI
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
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:787-945-1472
Mailing Address - Street 1:#100 URBANIZAUOR SANTA JUANITA
Mailing Address - Street 2:AVENIDE LAUREL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4816
Mailing Address - Country:US
Mailing Address - Phone:872-594-7307
Mailing Address - Fax:787-259-3998
Practice Address - Street 1:ANTIGUO HOSPITAL DE DISTRITO HOSPITAL DR. JOSE'
Practice Address - Street 2:GANDARA, CARR. 14, SO MACHUELO
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-259-4731
Practice Address - Fax:787-259-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR660433481OtherMEDICO Y LAB
PR81456OtherMEDICO
PRS952OtherINTERNISTA
PR660433481-8TOtherPEDIATRA
PR660433481-17OtherLABORATORIO
PR992624OtherMEDICO Y LABORATORIO
PRS004OtherLABORATORIO
PRS804OtherINFECTOLOGO
PRS857OtherIFECTOLOGO PEDIATRICO
PR660433481-8KOtherGENERALISTA
PR660433481-8LOtherMED INTERNA
PR660433481HIOtherINFECTOLOGIA PEDIATRICA
PRS790OtherPEDIATRA
PR30346OtherLABORATORIO
PR7310406OtherMEDICO Y LAB
PR101241OtherMEDICO Y LAB
PRS629OtherGENERALISTA
PR81456OtherMEDICO
PR660433481-8LOtherMED INTERNA
PRS790OtherPEDIATRA