Provider Demographics
NPI:1407143720
Name:CENTRO CLINICO SHEILIA, INC
Entity Type:Organization
Organization Name:CENTRO CLINICO SHEILIA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:CESAR
Authorized Official - Middle Name:I
Authorized Official - Last Name:VARGAS QUINONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-280-3005
Mailing Address - Street 1:URB RAHOLISA GARDENS
Mailing Address - Street 2:NUM 18
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685
Mailing Address - Country:US
Mailing Address - Phone:787-280-3005
Mailing Address - Fax:787-280-3005
Practice Address - Street 1:424 SUITE NUM 2
Practice Address - Street 2:EMERITO ESTRADA AVE
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-280-3005
Practice Address - Fax:787-280-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty