Provider Demographics
NPI:1295579001
Name:CENIT MEDICAL CONSULTANTS LLC
Entity type:Organization
Organization Name:CENIT MEDICAL CONSULTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SASIDHAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTHIKONDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-603-3883
Mailing Address - Street 1:285 PALMAS INN WAY, APT 2-101
Mailing Address - Street 2:PALMANOVA VILLAGE, PALMAS DEL MAR
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:787-603-3883
Mailing Address - Fax:
Practice Address - Street 1:ANEXO HOSPITAL RYDER, SUITE 105, #355 AVE. FONT MARTELO
Practice Address - Street 2:
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-603-3883
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-25
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty