Provider Demographics
NPI:1801912514
Name:DEPARTAMENTO DE SALUD OFICIAL
Entity type:Organization
Organization Name:DEPARTAMENTO DE SALUD OFICIAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR EJECUTIVO
Authorized Official - Prefix:DR
Authorized Official - First Name:CIRIDUREL
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-945-1472
Mailing Address - Street 1:#100 URBANIZACION SANTA JUANITA
Mailing Address - Street 2:AVENIDA LAUREL
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-4316
Mailing Address - Country:US
Mailing Address - Phone:787-757-1800
Mailing Address - Fax:787-250-9265
Practice Address - Street 1:AVENIDA 65 DE INFANTERIA
Practice Address - Street 2:HOSPITAL DE LA UNIVERSIDAD DE PR
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00919
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:787-257-3615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR7400003OtherSERVICIO MED Y LAB
PR81460OtherSERVICIO MED
PR5070OtherMEDICO
PR66043348110KOtherGENERALISTA
PRS563OtherINFECTOLOGO
PR30346OtherLAB
PR40167OtherSERVICIO MED Y LAB
PR660433481LHOtherINFECTOLOGIA
PRS578OtherNEFROLOGO
PR66043348117OtherLABORATORIO
PR600248OtherSERVICIO MED Y LAB
PR660433481OtherSERVCIO MED Y LAB
PRSH1010OtherSERVCIO MED Y LAB
PR101240OtherSERVICIO MED Y LAB
PRS542OtherPEDIATRA
PR992359OtherSERVICIO MED Y LAB
PRS003OtherLABORATORIO
PRS502OtherGENERALISTA