Provider Demographics
NPI:1508104407
Name:CITY HEALTH PSC
Entity Type:Organization
Organization Name:CITY HEALTH PSC
Other - Org Name:EMPRESALUD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GILDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-795-8855
Mailing Address - Street 1:109 CALLE GUAYAMA
Mailing Address - Street 2:HATO REY
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00917-4512
Mailing Address - Country:US
Mailing Address - Phone:787-795-8855
Mailing Address - Fax:
Practice Address - Street 1:109 CALLE GUAYAMA
Practice Address - Street 2:HATO REY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-4512
Practice Address - Country:US
Practice Address - Phone:939-639-0584
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty