Provider Demographics
NPI:1821298209
Name:CENTRO DE MEDICINA INTERNA DEL OESTE, CSP
Entity Type:Organization
Organization Name:CENTRO DE MEDICINA INTERNA DEL OESTE, CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:MIGUEL
Authorized Official - Last Name:DELGADO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-849-1833
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:HORMIGUEROS
Mailing Address - State:PR
Mailing Address - Zip Code:00660-0158
Mailing Address - Country:US
Mailing Address - Phone:787-849-1833
Mailing Address - Fax:787-849-0206
Practice Address - Street 1:CARR 2 KM 164.4 PLAZA MONSERRATE 4
Practice Address - Street 2:
Practice Address - City:HORMIGUEROS
Practice Address - State:PR
Practice Address - Zip Code:00660
Practice Address - Country:US
Practice Address - Phone:787-849-1866
Practice Address - Fax:787-849-0206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty