Provider Demographics
NPI:1508692476
Name:C.A. GROUP SERVICES LLC
Entity type:Organization
Organization Name:C.A. GROUP SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KEYLA
Authorized Official - Middle Name:D
Authorized Official - Last Name:CENTENO AVILES
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:787-716-9137
Mailing Address - Street 1:PO BOX 818
Mailing Address - Street 2:
Mailing Address - City:CEIBA
Mailing Address - State:PR
Mailing Address - Zip Code:00735-0818
Mailing Address - Country:US
Mailing Address - Phone:787-718-9137
Mailing Address - Fax:
Practice Address - Street 1:258 AVE LAURO PINERO
Practice Address - Street 2:
Practice Address - City:CEIBA
Practice Address - State:PR
Practice Address - Zip Code:00735-2707
Practice Address - Country:US
Practice Address - Phone:787-716-9137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty