Provider Demographics
NPI:1407091036
Name:CENTRO DE ENDOSCOPIA AVANZADA DEL CARIBE INC.
Entity Type:Organization
Organization Name:CENTRO DE ENDOSCOPIA AVANZADA DEL CARIBE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CEBOLLERO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-265-4250
Mailing Address - Street 1:PO BOX 3146
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-3146
Mailing Address - Country:US
Mailing Address - Phone:787-265-4250
Mailing Address - Fax:787-265-4290
Practice Address - Street 1:DE DIEGO ST. 55 EAST
Practice Address - Street 2:CPR PROFESSIONAL BLDG. SUITE 104
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00681
Practice Address - Country:US
Practice Address - Phone:787-265-4250
Practice Address - Fax:787-265-4290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy