Provider Demographics
NPI:1770712614
Name:PEDRO PALOU BOSH OB-GYN PSC
Entity type:Organization
Organization Name:PEDRO PALOU BOSH OB-GYN PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:PALOU BOSCH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-793-4646
Mailing Address - Street 1:CARR 21 U-3 T-5
Mailing Address - Street 2:URB LAS LOMAS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00921-3313
Mailing Address - Country:US
Mailing Address - Phone:787-793-4646
Mailing Address - Fax:787-292-3911
Practice Address - Street 1:CARR 21 U-3 T-5
Practice Address - Street 2:URB LAS LOMAS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3313
Practice Address - Country:US
Practice Address - Phone:787-793-4646
Practice Address - Fax:787-292-3911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty