Provider Demographics
NPI:1710107883
Name:CENTRO MEDICO DEL TURABO INC
Entity Type:Organization
Organization Name:CENTRO MEDICO DEL TURABO INC
Other - Org Name:RED MEDICA HIMA SAN PABLO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ORLANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:HMSA
Authorized Official - Phone:787-653-3434
Mailing Address - Street 1:PO BOX 4980
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-4980
Mailing Address - Country:US
Mailing Address - Phone:787-653-3434
Mailing Address - Fax:787-653-3517
Practice Address - Street 1:HIMA SAN PABLO CAGUAS
Practice Address - Street 2:URB MARIOLGA #100 AVE LUIS MUNOZ MARIN
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:787-653-3517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1093843096OtherNEUROLOGY NPI GROUP
PR1811039514OtherPED NEUMOLOGY NPI GRP
PR1992848907OtherPED GASTRO NPI GROUP
PR1104043686OtherNUCLEAR MEDICINE NPI GRP
PR1164566220OtherPED HOSPITALIST FAJ NPIGR
PR1811031933OtherPED RHEUMATOLOGY NPI GROU
PR1477697597OtherPED HEMA ONCO NPI GRP
PR1689728875OtherGENERAL SURGERY NPI GROUP
PR1205052248OtherOB GYN FAJARDO NPI GRP
PR1215081492OtherHOUSE PHYSICIAN NPI GROUP
PR1720122849OtherPED NEPHRO NPI GRP
PR1174740666OtherPED INFECT NPI GROUP
PR1568506681OtherGASTROENTEROLOGY NPI GRP
PR1720205289OtherPED ORTHOPEDY NPI GROUP
PR1376671081OtherNEUROSURGERY NPI GRP
PR1639212640OtherPED OTORRHINOL NPI GRP
PR1912040916OtherOTORRHINOL NPI GRP
PR1083758163OtherPED EMERG FAJARDNPI GROUP
PR1689891160OtherPED SURGERY NPI GROUP
PR0085202Medicare PIN