Provider Demographics
NPI:1760628366
Name:CENTRO MEDICO FAMILIAR Y MEDICINA INTEGRAL Y COMPLEMENTARIA DE RIO PIE
Entity Type:Organization
Organization Name:CENTRO MEDICO FAMILIAR Y MEDICINA INTEGRAL Y COMPLEMENTARIA DE RIO PIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZORAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-754-7133
Mailing Address - Street 1:PO BOX 29764
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929-0764
Mailing Address - Country:US
Mailing Address - Phone:787-754-7133
Mailing Address - Fax:787-771-9131
Practice Address - Street 1:210 CALLE ARIZMENDI
Practice Address - Street 2:
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00925-3411
Practice Address - Country:US
Practice Address - Phone:787-754-7133
Practice Address - Fax:787-771-9131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty