Provider Demographics
NPI:1508107673
Name:HYPERBARIC SKIN AND HEALTH CLINIC INC.
Entity Type:Organization
Organization Name:HYPERBARIC SKIN AND HEALTH CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SURIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:SUAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-249-4499
Mailing Address - Street 1:URB. SAN FRANCISCO
Mailing Address - Street 2:113 CALLE JAZMIN
Mailing Address - City:SAN JUAN
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00927
Mailing Address - Country:UM
Mailing Address - Phone:787-249-4499
Mailing Address - Fax:
Practice Address - Street 1:AVE. 65 DE INFANTERIA, KM. 8.3
Practice Address - Street 2:HOSPITAL UNIVERSITARIO UPR (DR. FEDERICO TRILLA)LEVEL B
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-249-4499
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-14
Last Update Date:2013-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty