Provider Demographics
NPI:1407980782
Name:CARIBBEAN GYN CARE CENTER
Entity Type:Organization
Organization Name:CARIBBEAN GYN CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MALARET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-593-4436
Mailing Address - Street 1:P.O. BOX 367148
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-7148
Mailing Address - Country:US
Mailing Address - Phone:787-593-4436
Mailing Address - Fax:787-751-4417
Practice Address - Street 1:735 AVE. PONCE DE LEON
Practice Address - Street 2:SUITE 614
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-274-0113
Practice Address - Fax:787-751-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty