Provider Demographics
NPI:1871648501
Name:CARIBBEAN GYN CARE CENTER
Entity Type:Organization
Organization Name:CARIBBEAN GYN CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFICIAL
Authorized Official - Prefix:DR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MALARET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-688-6975
Mailing Address - Street 1:PO BOX 367148
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-7148
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:TORRE AUXILIO MUTUO
Practice Address - Street 2:OFIC 602
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00919-1227
Practice Address - Country:US
Practice Address - Phone:787-688-6975
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6846207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR28772Medicare ID - Type UnspecifiedDR. HIRAM MALARET