Provider Demographics
NPI:1821847914
Name:CLINICA CORAZONES UNIDOS S.A.
Entity type:Organization
Organization Name:CLINICA CORAZONES UNIDOS S.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORETA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:809-567-4421
Mailing Address - Street 1:PO BOX 39192
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-9192
Mailing Address - Country:US
Mailing Address - Phone:954-526-9751
Mailing Address - Fax:
Practice Address - Street 1:C. PADRE FANTINO FALCO 21 ENSANCHE NACO
Practice Address - Street 2:
Practice Address - City:SANTO DOMINGO
Practice Address - State:SANTO DOMINGO
Practice Address - Zip Code:00000
Practice Address - Country:DO
Practice Address - Phone:809-567-4421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital