Provider Demographics
NPI:1376317529
Name:SERVICIOS MEDICOS PROFECIONALES DE CIRUGIA ORTOPEDICA Y OFTALMOLOGIA
Entity Type:Organization
Organization Name:SERVICIOS MEDICOS PROFECIONALES DE CIRUGIA ORTOPEDICA Y OFTALMOLOGIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:FERNANDO
Authorized Official - Last Name:ITURRIAGA EZPELOSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 11577
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1577
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:LIMON CENTRO75 SUR DE LA BOMBA DANNY HEILYN
Practice Address - Street 2:
Practice Address - City:LIMON
Practice Address - State:LIMON
Practice Address - Zip Code:99999
Practice Address - Country:CR
Practice Address - Phone:506-279-8010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital