Provider Demographics
NPI:1518197037
Name:ABSOLUTE INFUSION CENTER, INC.
Entity Type:Organization
Organization Name:ABSOLUTE INFUSION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNWER/PHARMACIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:COLON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-892-8700
Mailing Address - Street 1:HC 3 BOX 25711
Mailing Address - Street 2:SUITE 107
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-9340
Mailing Address - Country:US
Mailing Address - Phone:787-892-8700
Mailing Address - Fax:787-264-5800
Practice Address - Street 1:SAN GERMAN MEDICAL PLAZA ST 2
Practice Address - Street 2:SUITE 107
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-9340
Practice Address - Country:US
Practice Address - Phone:787-892-8700
Practice Address - Fax:787-264-5800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
No251F00000XAgenciesHome Infusion
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility