Provider Demographics
NPI:1881040822
Name:REDES DE SALUD INC.
Entity Type:Organization
Organization Name:REDES DE SALUD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER EXECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:ITZIANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-619-7380
Mailing Address - Street 1:PO BOX 9185
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-9185
Mailing Address - Country:US
Mailing Address - Phone:787-285-0655
Mailing Address - Fax:787-285-4060
Practice Address - Street 1:CARR 156 KM 57.7
Practice Address - Street 2:W PLAZA LOCAL 10
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-0000
Practice Address - Country:US
Practice Address - Phone:787-719-7888
Practice Address - Fax:787-961-9730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR1841508793OtherNPI