Provider Demographics
NPI:1639390800
Name:CENTRO MEDICINA FAMILIA HOSPITAL DR PILA
Entity type:Organization
Organization Name:CENTRO MEDICINA FAMILIA HOSPITAL DR PILA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RENTAS
Authorized Official - Middle Name:RODRIGUAZ
Authorized Official - Last Name:BLANCA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-844-6405
Mailing Address - Street 1:RAMON POWER 7309
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1501
Mailing Address - Country:US
Mailing Address - Phone:787-844-6405
Mailing Address - Fax:787-844-6400
Practice Address - Street 1:RAMON POWER 7309
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1501
Practice Address - Country:US
Practice Address - Phone:787-844-6405
Practice Address - Fax:787-844-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-02
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13881174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty