Provider Demographics
NPI:1649572447
Name:HEALTH PREVENTIVE SERVICES, CSP
Entity Type:Organization
Organization Name:HEALTH PREVENTIVE SERVICES, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:787-269-6590
Mailing Address - Street 1:PO BOX 607071
Mailing Address - Street 2:PMB 314
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-7071
Mailing Address - Country:US
Mailing Address - Phone:787-269-6590
Mailing Address - Fax:787-269-6599
Practice Address - Street 1:CALLE ROSSY ESQUINA ISABEL II
Practice Address - Street 2:3 PISO EDIFICIO ANEXO BAYAMON HEALTH CENTER
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-269-6590
Practice Address - Fax:787-269-6599
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH PREVENTIVE SERVICES, CSP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-11-30
Last Update Date:2011-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty