Provider Demographics
NPI:1679977359
Name:CITA SALUD INC
Entity Type:Organization
Organization Name:CITA SALUD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTA
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:RIVAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-380-3048
Mailing Address - Street 1:JARD DE VALENCIA
Mailing Address - Street 2:CALLE PERERIRA LEGAL APARTAMENTO 108
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923-1901
Mailing Address - Country:US
Mailing Address - Phone:787-380-3048
Mailing Address - Fax:
Practice Address - Street 1:JARD DE VALENCIA
Practice Address - Street 2:CALLE PEREIRA LEAL APARTAMENTO 108
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923-1901
Practice Address - Country:US
Practice Address - Phone:787-380-3048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172A00000XOther Service ProvidersDriverGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR=========OtherCITA SALUD