Provider Demographics
NPI:1568143873
Name:CLINICA DE ENDOCRINOLOGIA DEL OESTE
Entity Type:Organization
Organization Name:CLINICA DE ENDOCRINOLOGIA DEL OESTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDOCRINOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:YANIRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:939-274-2364
Mailing Address - Street 1:PO BOX 607
Mailing Address - Street 2:
Mailing Address - City:SABANA SECA
Mailing Address - State:PR
Mailing Address - Zip Code:00952-0607
Mailing Address - Country:US
Mailing Address - Phone:939-274-2364
Mailing Address - Fax:
Practice Address - Street 1:KM 7.1, CABO ROJO TOWN CENTER CARR. 100, SUITE #6
Practice Address - Street 2:
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623
Practice Address - Country:US
Practice Address - Phone:787-295-2665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty