CDT DE TOA ALTA PUEBLO NPI 1093151631

NPI Information

NPI: 1093151631
Provider Name: CDT DE TOA ALTA PUEBLO
Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

Address:
16 CALLE BARCELO
TOA ALTA, PR
ZIP 00953
Phone: (787) 870-8690
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CDT DE TOA ALTA PUEBLO is an emergency care clinic center in Toa Alta, PR. CDT DE TOA ALTA PUEBLO NPI is 1093151631. The provider is registered as an organization entity type.

The provider's business location address is:

16 CALLE BARCELO
TOA ALTA, PR
ZIP 00953-444
Phone: (787) 870-8690
Fax: (787) 870-2600

The provider's authorized official is Clemente Agosto Lugardo .
The authorized official title is Major and has the following contact phone number (787) 870-2100.

The enumeration date for this NPI number is 5/21/2013 and was last updated on 5/21/2013.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1609917848	MEDICAID	PUERTO RICO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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