Provider Demographics
NPI:1750614962
Name:CENTRO NEUROLOGICO DE CAYEY, C.S.P.
Entity type:Organization
Organization Name:CENTRO NEUROLOGICO DE CAYEY, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENTE
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:VAZQUEZ REILLO
Authorized Official - Suffix:
Authorized Official - Credentials:MD NEUROLOGY
Authorized Official - Phone:787-738-3511
Mailing Address - Street 1:P.M.B. 479 BOX 6400
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737
Mailing Address - Country:US
Mailing Address - Phone:787-738-3511
Mailing Address - Fax:787-738-5122
Practice Address - Street 1:AVE. LUIS MUNOZ RIVERA #75
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-738-3511
Practice Address - Fax:787-738-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-08
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR10583204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Multi-Specialty