Provider Demographics
NPI:1740221217
Name:TRANSPLANT SOCIETY
Entity Type:Organization
Organization Name:TRANSPLANT SOCIETY
Other - Org Name:TRANSPLANT SOCIETY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR TRANSPLANT SOCIETY
Authorized Official - Prefix:DR
Authorized Official - First Name:EDUARDO
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTIAGO DELPIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-765-7650
Mailing Address - Street 1:PO BOX 362403
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2403
Mailing Address - Country:US
Mailing Address - Phone:787-765-7650
Mailing Address - Fax:787-766-4038
Practice Address - Street 1:TRANSPLANT SOCIETY, AUXILIO MUTUO HOSPITAL
Practice Address - Street 2:PONCE DE LEON AVENUE, STOP 36 1/2
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-765-7650
Practice Address - Fax:787-766-4038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2970208600000X
PR4774208600000X
PR6984208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29126Medicare PIN