Provider Demographics
NPI:1205825346
Name:ALAYON ANTA Y ROSARIO PADUA ASOC.
Entity type:Organization
Organization Name:ALAYON ANTA Y ROSARIO PADUA ASOC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGY
Authorized Official - Prefix:
Authorized Official - First Name:HELVETIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSARIO PADUA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-844-3153
Mailing Address - Street 1:PO BOX 330782
Mailing Address - Street 2:ATOCHA STATION
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00733-0782
Mailing Address - Country:US
Mailing Address - Phone:787-844-3153
Mailing Address - Fax:787-840-1964
Practice Address - Street 1:2520 AVE OBISPADO
Practice Address - Street 2:URB. ALHAMBRA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-3841
Practice Address - Country:US
Practice Address - Phone:787-844-3153
Practice Address - Fax:787-840-1964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-20
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR80233Medicare ID - Type Unspecified