Provider Demographics
NPI:1750790853
Name:PROFESSIONAL INFUSION CENTER, INC.
Entity type:Organization
Organization Name:PROFESSIONAL INFUSION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD
Authorized Official - Phone:787-783-8579
Mailing Address - Street 1:55 CALLE ARZUAGA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00925-3702
Mailing Address - Country:US
Mailing Address - Phone:787-781-4585
Mailing Address - Fax:787-783-2951
Practice Address - Street 1:EDIF MEDICO PROFESIONAL # 1065
Practice Address - Street 2:LOS CORAZONES STE 109
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-7060
Practice Address - Country:US
Practice Address - Phone:787-783-8579
Practice Address - Fax:787-783-2951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-04
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QI0500X
PR9586-14261QI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy