Provider Demographics
NPI:1952628216
Name:CARIBBEAN HEALTH MANAGEMENT
Entity Type:Organization
Organization Name:CARIBBEAN HEALTH MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:GONZALEZ CANCEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-281-0451
Mailing Address - Street 1:COND CENTRO PLZ
Mailing Address - Street 2:PISO 1 SUITE 2
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00909-2110
Mailing Address - Country:US
Mailing Address - Phone:787-281-0451
Mailing Address - Fax:
Practice Address - Street 1:COND CENTRO PLZ
Practice Address - Street 2:PISO 1 SUITE 2
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2110
Practice Address - Country:US
Practice Address - Phone:787-281-0451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-27
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization