Provider Demographics
NPI:1780634915
Name:MUNICIPIO DE JUNCOS
Entity Type:Organization
Organization Name:MUNICIPIO DE JUNCOS
Other - Org Name:CDT DR. CESAR A. COLLAZO
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RAYMA
Authorized Official - Middle Name:MILENE
Authorized Official - Last Name:ROBLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:787-333-6108
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1706
Mailing Address - Country:US
Mailing Address - Phone:787-333-6108
Mailing Address - Fax:787-734-0185
Practice Address - Street 1:37 CALLE MUNOZ RIVERA
Practice Address - Street 2:HOSPITAL MUNICIPAL DR. CESAR A. COLLAZO
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3114
Practice Address - Country:US
Practice Address - Phone:787-734-0491
Practice Address - Fax:787-734-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR95261Q00000X
261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR600356OtherPREFERRED
PR1040-95OtherGLOBAL HEALTH
PR4448-2OtherPROSSAM
PR90-0468-9OtherACAA
PR997954OtherMMM
PR00429OtherAMERICAN HEALTH
PR7770032OtherHUMANA HEALTH
PRP421OtherFIRST MEDICAL
PR997954OtherMMM
PR=========OtherMAPFRE
PR4448-2OtherPROSSAM
PR600356OtherPREFERRED
PR=========OtherMCS
PR4448-2OtherPROSSAM