Provider Demographics
NPI:1972831642
Name:CAROLINA SLEEP & EPILEPSY CENTER
Entity Type:Organization
Organization Name:CAROLINA SLEEP & EPILEPSY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-257-1220
Mailing Address - Street 1:PMB 353 405 AVE ESMERALDA
Mailing Address - Street 2:SUITE 102
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-257-1220
Mailing Address - Fax:787-257-1220
Practice Address - Street 1:65 INF AVE
Practice Address - Street 2:HOSPITAL FEDERICO TRILLA 5 FLOOR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-257-1220
Practice Address - Fax:787-257-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-18
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR152260261QS1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic