Provider Demographics
NPI:1982300067
Name:CENTRO PARA EL CUIDADO DE PIEL HERIDAS ULCERAS Y PIE DIABETICO
Entity Type:Organization
Organization Name:CENTRO PARA EL CUIDADO DE PIEL HERIDAS ULCERAS Y PIE DIABETICO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER-PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMANDO
Authorized Official - Middle Name:JP
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:787-313-2791
Mailing Address - Street 1:PO BOX 1152
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-1152
Mailing Address - Country:US
Mailing Address - Phone:787-854-7545
Mailing Address - Fax:787-854-6890
Practice Address - Street 1:PR 2 K47 H7
Practice Address - Street 2:DOCTORS CENTER HOSPITAL SUITE 201
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-7545
Practice Address - Fax:787-854-6890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service