Provider Demographics
NPI:1396922175
Name:DANOIS, MD. CSP
Entity type:Organization
Organization Name:DANOIS, MD. CSP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:DANOIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-390-1830
Mailing Address - Street 1:PO BOX 362039
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-2039
Mailing Address - Country:US
Mailing Address - Phone:787-390-1830
Mailing Address - Fax:787-745-5975
Practice Address - Street 1:AVE. BAIROA, RESIDENCIAL BAIROA
Practice Address - Street 2:SANTA MARIA M-3, LOCAL P-4
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-390-1830
Practice Address - Fax:787-745-5975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-24
Last Update Date:2008-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0023721Medicare PIN
PRI49737Medicare UPIN