Provider Demographics
NPI:1881184273
Name:EMANUELLI RESEARCH & DEVELOPMENT CENTER
Entity Type:Organization
Organization Name:EMANUELLI RESEARCH & DEVELOPMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRES
Authorized Official - Middle Name:
Authorized Official - Last Name:EMANUELLI ANZALOTTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-879-7722
Mailing Address - Street 1:PO BOX 2770
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613-2770
Mailing Address - Country:US
Mailing Address - Phone:787-879-7722
Mailing Address - Fax:787-879-7722
Practice Address - Street 1:452 AVE RIVERA AULET
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4368
Practice Address - Country:US
Practice Address - Phone:787-879-7722
Practice Address - Fax:787-879-7722
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-11
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR169781744R1102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744R1102XOther Service ProvidersSpecialistResearch StudyGroup - Multi-Specialty