Provider Demographics
NPI:1376759779
Name:TRATAMIENTO NEUROLOGICO Y NEUMOLOGICO DEL SUENO
Entity Type:Organization
Organization Name:TRATAMIENTO NEUROLOGICO Y NEUMOLOGICO DEL SUENO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-816-0315
Mailing Address - Street 1:PO BOX 846
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-0846
Mailing Address - Country:US
Mailing Address - Phone:787-816-0315
Mailing Address - Fax:
Practice Address - Street 1:51 CALLE GAUTIER BENITEZ
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4418
Practice Address - Country:US
Practice Address - Phone:787-816-0315
Practice Address - Fax:787-880-1011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9371174400000X
PR6372207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR81388OtherSSS