Provider Demographics
NPI:1134263288
Name:CENTRO MEDICO AL CUIDADO DE LA MUJER, P.S.C.
Entity type:Organization
Organization Name:CENTRO MEDICO AL CUIDADO DE LA MUJER, P.S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF THE CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:FLORES-RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-743-8084
Mailing Address - Street 1:PO BOX 6747
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-6747
Mailing Address - Country:US
Mailing Address - Phone:787-743-8084
Mailing Address - Fax:787-258-0525
Practice Address - Street 1:D1 CALLE BALDORIOTY
Practice Address - Street 2:URB. PARADIS
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2655
Practice Address - Country:US
Practice Address - Phone:787-743-8084
Practice Address - Fax:787-258-0525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8541207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty