Provider Demographics
NPI:1841421096
Name:HUESOS CHICOS CSP
Entity Type:Organization
Organization Name:HUESOS CHICOS CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ONIX
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES-MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-884-5049
Mailing Address - Street 1:PO BOX 2105
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-2105
Mailing Address - Country:US
Mailing Address - Phone:787-884-5049
Mailing Address - Fax:787-621-3358
Practice Address - Street 1:CARR #2 KM 47.8
Practice Address - Street 2:HOSPITAL DOCTOR'S CENTER
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-884-5049
Practice Address - Fax:787-621-3358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13000207XP3100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XP3100XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryPediatric Orthopaedic SurgeryGroup - Single Specialty