Provider Demographics
NPI:1649831777
Name:MOROVIS COMMUNITY HEALTH CENTER, INC.
Entity type:Organization
Organization Name:MOROVIS COMMUNITY HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICIAL ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LIRIO
Authorized Official - Middle Name:ANTONIA
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-862-3000
Mailing Address - Street 1:PO BOX 518
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-0518
Mailing Address - Country:US
Mailing Address - Phone:787-862-3000
Mailing Address - Fax:787-862-2731
Practice Address - Street 1:BO CANDELARIA SECTOR PAJAROS
Practice Address - Street 2:PR 863 KM 1.0
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-862-3000
Practice Address - Fax:787-862-2731
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MOROVIS COMMUNITY HEALTH CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-06-28
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)