INSTITUTO CIRUGIA ORBITOFACIAL CSP NPI 1043498918

NPI Information

INSTITUTO CIRUGIA ORBITOFACIAL, CSP is a specialist in Guaynabo, PR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. INSTITUTO CIRUGIA ORBITOFACIAL, CSP NPI is 1043498918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

100 CARR 165
SUITE 310
GUAYNABO, PR
ZIP 00968-047
Phone: (787) 781-4700
Fax: (787) 781-1590

The provider's authorized official is Carlos R Pou .
The authorized official title is Chief Medical Director and has the following contact phone number (787) 781-4700.

The CLIA number assigned to this NPI record is 40D2062624 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2008 and was last updated on 5/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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