CENTRO CESKI C S P NPI 1194959122

NPI Information

NPI: 1194959122
Provider Name: CENTRO CESKI C S P
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 40D0909159

Address:
602 CALLE JOSE V RODRIGUEZ
PENUELAS, PR
ZIP 00624
Phone: (787) 836-3288
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CENTRO CESKI C S P is a multi-specialty clinic center in Penuelas, PR. CENTRO CESKI C S P NPI is 1194959122. The provider is registered as an organization entity type.

The provider's business location address is:

602 CALLE JOSE V RODRIGUEZ
PENUELAS, PR
ZIP 00624-807
Phone: (787) 836-3288
Fax: (787) 836-3288

The provider's authorized official is Jose Angel Santiago .
The authorized official title is Medical Director and has the following contact phone number (787) 836-3288.

The CLIA number assigned to this NPI record is 40D0909159 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2009 and was last updated on 6/15/2010.

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	261QM1300X	Clinic/Center	Multi-Specialty	8333	PUERTO RICO	Yes

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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