Provider Demographics
NPI:1508200403
Name:FUNDACION SINA, INC.
Entity Type:Organization
Organization Name:FUNDACION SINA, INC.
Other - Org Name:FUNDACION SINA
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGUAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-225-1572
Mailing Address - Street 1:URB VILLA CAROLINA
Mailing Address - Street 2:63-6 CALLE 46
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5548
Mailing Address - Country:US
Mailing Address - Phone:787-225-1572
Mailing Address - Fax:
Practice Address - Street 1:URB VILLA CAROLINA
Practice Address - Street 2:63-6 CALLE 46
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5548
Practice Address - Country:US
Practice Address - Phone:787-225-1572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-22
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center