Provider Demographics
NPI:1881184935
Name:CORPORACION DE SERVICIOS DE SALUD Y DESARROLLO SOCIOECONOMICO EL OTOAO
Entity type:Organization
Organization Name:CORPORACION DE SERVICIOS DE SALUD Y DESARROLLO SOCIOECONOMICO EL OTOAO
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRANCISCO
Authorized Official - Middle Name:J
Authorized Official - Last Name:VALENTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-376-7659
Mailing Address - Street 1:PO BOX 2113
Mailing Address - Street 2:
Mailing Address - City:UTUADO
Mailing Address - State:PR
Mailing Address - Zip Code:00641-2113
Mailing Address - Country:US
Mailing Address - Phone:787-376-7659
Mailing Address - Fax:
Practice Address - Street 1:CARR 140 KM 383
Practice Address - Street 2:BO MAMEYES
Practice Address - City:UTUADO
Practice Address - State:PR
Practice Address - Zip Code:00641
Practice Address - Country:US
Practice Address - Phone:787-376-7659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-15
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
No341600000XTransportation ServicesAmbulanceGroup - Single Specialty