Provider Demographics
NPI:1659595619
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity Type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:OCASET
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:CUIDUVAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-945-1472
Mailing Address - Street 1:#100 URBANIZACION SANTA JUANITA
Mailing Address - Street 2:AVENIDA LAUREL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4816
Mailing Address - Country:US
Mailing Address - Phone:787-965-2929
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 172, CAGUAS A CIDRA
Practice Address - Street 2:URB. TURABO GARDENS, PREDIOS HOSPITAL MENONITA
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-765-2929
Practice Address - Fax:787-746-2898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR101237OtherMEDICO Y LAB
PR660433481-17OtherLAB
PR660433481-9OtherMEDICO
PRS862OtherINTERNISTA
PR5066OtherLAB
PR992359OtherMEDICO Y LAB
PRS860OtherINFECTOLOGO
PRS865OtherGENERALISTA
PR30346OtherLAB
PR81453OtherMEDICO
PR=========OtherMEDICO Y LAB
PRS006OtherLAB
PRS867OtherINFECTOLOGO PEDIATRICO
PRS869OtherPEDIATRA
PR00433CPTCOtherMEDICO Y LAB
PR5001OtherMEDICO
PR600248OtherMEDICO Y LAB
PR7250066OtherMEDICO Y LAB