Provider Demographics
NPI:1740400035
Name:DOCTORS CENTER HOSPITAL ARECIBO INC
Entity Type:Organization
Organization Name:DOCTORS CENTER HOSPITAL ARECIBO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA LUGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-854-3322
Mailing Address - Street 1:CARR. #2 KM 80.1
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614
Mailing Address - Country:US
Mailing Address - Phone:787-878-0000
Mailing Address - Fax:787-878-8106
Practice Address - Street 1:CARR. #2 KM 80
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00614
Practice Address - Country:US
Practice Address - Phone:787-878-0000
Practice Address - Fax:787-878-8106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-27
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR07B0820261QE0002X
PR708291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No291U00000XLaboratoriesClinical Medical Laboratory