Provider Demographics
NPI:1952730699
Name:HUMED LLC
Entity type:Organization
Organization Name:HUMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICINE DOCTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MILITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:CANINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-810-1868
Mailing Address - Street 1:CALLE 1 A1 CARR. 924 STE 4
Mailing Address - Street 2:URB. SAN ANTONIO
Mailing Address - City:HUMACAO
Mailing Address - State:PR
Mailing Address - Zip Code:00791
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CALLE 1 A1 CARR. 924 STE 4
Practice Address - Street 2:URB. SAN ANTONIO
Practice Address - City:HUMACAO
Practice Address - State:PR
Practice Address - Zip Code:00791
Practice Address - Country:US
Practice Address - Phone:787-810-1868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-04
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR208D0000X261QC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health