Provider Demographics
NPI:1770932857
Name:CENTRO NEUMOLOGICO DE HUMACAO LLC
Entity type:Organization
Organization Name:CENTRO NEUMOLOGICO DE HUMACAO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:C
Authorized Official - Last Name:TORRELLAS RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-474-0406
Mailing Address - Street 1:PO BOX 9290
Mailing Address - Street 2:
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00792-9290
Mailing Address - Country:US
Mailing Address - Phone:787-474-0406
Mailing Address - Fax:787-719-5200
Practice Address - Street 1:47 CALLE FONT MARTELO
Practice Address - Street 2:URB EL RECREO
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791-3345
Practice Address - Country:US
Practice Address - Phone:787-474-0406
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR13413207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty