Provider Demographics
NPI:1407059173
Name:UNIVERSITY HOSPITAL
Entity Type:Organization
Organization Name:UNIVERSITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESIDENT INTERNAL MEDICINE
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:ITURRINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-754-0101
Mailing Address - Street 1:146 AVE SANTA ANA
Mailing Address - Street 2:APT. 1007
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971-9308
Mailing Address - Country:US
Mailing Address - Phone:787-564-4444
Mailing Address - Fax:787-708-4927
Practice Address - Street 1:146 AVE SANTA ANA
Practice Address - Street 2:APT. 1007
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-9308
Practice Address - Country:US
Practice Address - Phone:787-564-4444
Practice Address - Fax:787-708-4927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26013R282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital