Provider Demographics
NPI:1467944553
Name:HEALTH ANALYTICS CONSULTING GROUP CORP.
Entity Type:Organization
Organization Name:HEALTH ANALYTICS CONSULTING GROUP CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASISTENTE ADMINISTRATIVA
Authorized Official - Prefix:
Authorized Official - First Name:IVELISSE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-374-1604
Mailing Address - Street 1:1353 AVE LUIS VIGOREAUX # PMB305
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-2715
Mailing Address - Country:US
Mailing Address - Phone:787-374-1604
Mailing Address - Fax:
Practice Address - Street 1:1007 AVE MUNOZ RIVERA SUITE 805
Practice Address - Street 2:EDIF DARLINGTON
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00925
Practice Address - Country:US
Practice Address - Phone:787-374-1604
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-04
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Single Specialty