Provider Demographics
NPI:1376877001
Name:GO FREE HEMORRHOID PAIN LESS CENTER, INC.
Entity Type:Organization
Organization Name:GO FREE HEMORRHOID PAIN LESS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP. EXECUTIVE OFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOAQUIN
Authorized Official - Middle Name:GUZMAN
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-249-9088
Mailing Address - Street 1:PO BOX 250421
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00604
Mailing Address - Country:UM
Mailing Address - Phone:787-891-7788
Mailing Address - Fax:787-819-1015
Practice Address - Street 1:2008 AVE PEDRO ALBIZU
Practice Address - Street 2:SUITE #5
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-2008
Practice Address - Country:US
Practice Address - Phone:781-891-7788
Practice Address - Fax:787-819-1015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-29
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty