Provider Demographics
NPI:1508024845
Name:HYPNOS ESTUDIO DE SUENO CSP
Entity Type:Organization
Organization Name:HYPNOS ESTUDIO DE SUENO CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:J
Authorized Official - Last Name:YAPOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-781-3535
Mailing Address - Street 1:649 CALLE GOLFO DE ALASKA
Mailing Address - Street 2:PASEO LOS CORALES 1
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4523
Mailing Address - Country:US
Mailing Address - Phone:787-781-3535
Mailing Address - Fax:787-781-3676
Practice Address - Street 1:1764 AVE PAZ GRANELA
Practice Address - Street 2:URB SANTIAGO IGLESIAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3628
Practice Address - Country:US
Practice Address - Phone:787-781-3535
Practice Address - Fax:787-781-3676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-22
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14072261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH 78197Medicare UPIN
PR0021373Medicare PIN