EASTERN PUERTO RICO DIABETES CARE CENTER


Address: 18 Calle Jorge Franceshi, Humacao, PR 00791-3915
Phone: 7878525313

EASTERN PUERTO RICO DIABETES CARE CENTER (NPI# 1235643107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235643107
Entity Type Organization
Organization Name EASTERN PUERTO RICO DIABETES CARE CENTER
Practice Address 18 Calle Jorge Franceshi
Humacao
PR 00791-3915
Mailing Address Po Box 364246
San Juan
PR 00936-4246
Practice Telephone 7878525313
Mailing Telephone 7878525313
Mailing Fax Number 7872857319
Enumeration Date 2017-11-29
Last Update Date 2017-11-29
Authorized Official Name MYRIAM ZAHYDEE ALLENDE-VIGO (OWNER)
Authorized Official Telephone 7878525313
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
PR Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PR PR LICENSE BOARD 04962 01

Office Location

Street Address 18 CALLE JORGE FRANCESHI
City HUMACAO
State PR
Zip Code 00791-3915

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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

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1598989527 Centros De Prevencion Tratamiento De Enfermedades Transmisibles Clinic/Center 100 Calle Font Martelo W, Clinica Inmunologica De Humacao Local 13y14, Humacao, PR 00791-3923 2007-04-12

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Competitor

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City HUMACAO
Zip Code 00791

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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