Provider Demographics
NPI:1508617887
Name:MUNICIPIO DE HUMACAO
Entity Type:Organization
Organization Name:MUNICIPIO DE HUMACAO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:
Authorized Official - Credentials:MHSA
Authorized Official - Phone:787-404-4481
Mailing Address - Street 1:RADIOLOGIA CDT DR. JORGE FRANCESHI
Mailing Address - Street 2:P.O BOX 178
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-0178
Mailing Address - Country:US
Mailing Address - Phone:787-523-3616
Mailing Address - Fax:
Practice Address - Street 1:CALLE FLOR GERENA
Practice Address - Street 2:ESQ. SERGIO PENA
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00792-0178
Practice Address - Country:US
Practice Address - Phone:787-523-3616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUNICIPIO DE JUNCOS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty