Provider Demographics
NPI:1851593701
Name:MOROVIS COMMUNITY HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:MOROVIS COMMUNITY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:LIRIO
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-862-3000
Mailing Address - Street 1:2 CALLE PATRON
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-3021
Mailing Address - Country:US
Mailing Address - Phone:787-862-3000
Mailing Address - Fax:787-862-2731
Practice Address - Street 1:2 CALLE PATRON
Practice Address - Street 2:
Practice Address - City:MOROVIS
Practice Address - State:PR
Practice Address - Zip Code:00687-3021
Practice Address - Country:US
Practice Address - Phone:787-862-3000
Practice Address - Fax:787-862-2731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2018-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR721291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR31050OtherSSS CCC REFORMA
PR22223OtherPROSAM
PR40006OtherPMC PROVIDER #
PR6870002OtherHUMANA PROVIDER #
PR800107OtherMEDICARE Y MUCHO MAS
PR5679OtherAMERICAN HEALTH PROV #
PR=========OtherFEDERAL IDENTIFICATION #
PR5679OtherAMERICAN HEALTH PROV #
PRG40364Medicare UPIN
PRF28768Medicare UPIN
PR=========OtherFEDERAL IDENTIFICATION #
PRI15134Medicare UPIN
PRI38184Medicare UPIN
PR6870002OtherHUMANA PROVIDER #