Provider Demographics
NPI:1538105382
Name:DORADO COMMUNITY HEALTH INC
Entity Type:Organization
Organization Name:DORADO COMMUNITY HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR MEDICO
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:GONZALEZ BERMUDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-270-3330
Mailing Address - Street 1:400 CARR 698
Mailing Address - Street 2:BO MAMEYAL
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-3302
Mailing Address - Country:US
Mailing Address - Phone:787-796-3330
Mailing Address - Fax:787-915-7595
Practice Address - Street 1:#400 CARR 698
Practice Address - Street 2:BARRIO MAMEYAL
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646
Practice Address - Country:US
Practice Address - Phone:787-796-3330
Practice Address - Fax:787-915-7597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2014-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0085118Medicare PIN