Provider Demographics
NPI:1841329091
Name:CARIBBEAN PULMONARY MEDICAL SOCIETY, C.S.P.
Entity type:Organization
Organization Name:CARIBBEAN PULMONARY MEDICAL SOCIETY, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELLITZ
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLIDO
Authorized Official - Suffix:
Authorized Official - Credentials:CCS-P,CMRS
Authorized Official - Phone:787-598-1949
Mailing Address - Street 1:PO BOX 7776
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-7776
Mailing Address - Country:US
Mailing Address - Phone:787-840-2160
Mailing Address - Fax:787-840-2104
Practice Address - Street 1:2431 AVE LAS AMERICAS STE 300
Practice Address - Street 2:EDF A PORRATA PILA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2115
Practice Address - Country:US
Practice Address - Phone:787-840-2160
Practice Address - Fax:787-840-2104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0028077Medicare PIN