Provider Demographics
NPI:1790809432
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity Type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:OCASET
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR EXECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:CURIDUVEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-945-1472
Mailing Address - Street 1:#100 URBANIZACION SANTA JUANITA
Mailing Address - Street 2:AVENIDA LAUREL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4816
Mailing Address - Country:US
Mailing Address - Phone:787-765-2929
Mailing Address - Fax:
Practice Address - Street 1:CLINICA DE INMUNOLOGIA DE ARECIBO
Practice Address - Street 2:CARR 129 ANTIGUO HOSPITAL DE DISTRITO
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-3666
Practice Address - Country:US
Practice Address - Phone:787-878-7895
Practice Address - Fax:787-879-9026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR30346OtherLAB
PR660433481-12TOtherPEDIATRA
PR7400000OtherMEDICO Y LAB
PR81450OtherMEDICO
PRS082OtherGENERALISTA
PRS123OtherPEDIATRA
PR=========OtherMEDICO Y LAB
PR00433CPTAOtherMEDICO Y LAB
PR101234OtherMEDICO Y LAB
PRS110OtherINTERNISTA
PRSH10008OtherMEDICO Y LAB
PR4414-1OtherGENERALISTA
PRP001OtherLABORATORIO
PR992357OtherMEDICO Y LAB
PR4414-3OtherLAB
PR4417-5OtherINFECTOLOGO
PR660433481-12LOtherINTERNISTA
PR660433481-17OtherLAB