Provider Demographics
NPI:1396024063
Name:CENTRO DE CURACIONES SAN PEREGRINO INC
Entity Type:Organization
Organization Name:CENTRO DE CURACIONES SAN PEREGRINO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:MR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-508-2512
Mailing Address - Street 1:PO BOX 1938
Mailing Address - Street 2:
Mailing Address - City:ANASCO
Mailing Address - State:PR
Mailing Address - Zip Code:00610-1938
Mailing Address - Country:US
Mailing Address - Phone:787-508-2512
Mailing Address - Fax:787-830-2054
Practice Address - Street 1:CARR. 402 KM 2.9 BO QUEBRADA LARGA
Practice Address - Street 2:
Practice Address - City:ANASCO
Practice Address - State:PR
Practice Address - Zip Code:00610-1938
Practice Address - Country:US
Practice Address - Phone:787-826-8855
Practice Address - Fax:787-830-8899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center