Provider Demographics
NPI:1841568839
Name:DHARMA INSTITUTE AND RESEARCH CENTER
Entity Type:Organization
Organization Name:DHARMA INSTITUTE AND RESEARCH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-722-5006
Mailing Address - Street 1:57 CALLE WASHINGTON # 29
Mailing Address - Street 2:ASHFORD MEDICAL CENTER, SUITE 310, CONDADO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00907-1500
Mailing Address - Country:US
Mailing Address - Phone:787-722-5006
Mailing Address - Fax:787-725-7490
Practice Address - Street 1:57 CALLE WASHINGTON # 29
Practice Address - Street 2:SUIT 310
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00907-1500
Practice Address - Country:US
Practice Address - Phone:787-722-5006
Practice Address - Fax:787-725-7490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5690261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center