Provider Demographics
NPI:1295949360
Name:MUNICIPIO DE JUNCOS
Entity type:Organization
Organization Name:MUNICIPIO DE JUNCOS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:DENIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-734-0494
Mailing Address - Street 1:PO BOX 1706
Mailing Address - Street 2:HOSPITAL MUNICIPAL DR. CESAR A. COLLAZO
Mailing Address - City:JUNCOS
Mailing Address - State:PR
Mailing Address - Zip Code:00777-1706
Mailing Address - Country:US
Mailing Address - Phone:787-734-0494
Mailing Address - Fax:787-734-0185
Practice Address - Street 1:37 CALLE MUNOZ RIVERA
Practice Address - Street 2:HOSPITAL MUNICIPAL DR. CESAR A. COLLAZO
Practice Address - City:JUNCOS
Practice Address - State:PR
Practice Address - Zip Code:00777-3114
Practice Address - Country:US
Practice Address - Phone:787-734-0494
Practice Address - Fax:787-734-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7770032OtherHUMANA
PR600356OtherPREFERRED HEALTH PLAN
PRP421OtherIMC
PR00429OtherAMERICAN HEALTH
PR7770032OtherHUMANA