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CDT HORMIGUEROS PREVENTIVE MEDICINE INC NPI 1386928349


NPI Information

NPI: 1386928349
Provider Name: CDT HORMIGUEROS PREVENTIVE MEDICINE, INC

Former Legal Business Name: CDT HORMIGUEROS PREVENTIVE MEDICINE, INC.

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 40D2268599

Address:
STREET 2 ,MUNOZ MARIN
CDT HORMIGUEROS
HORMIGUEROS, PR
ZIP 00660
Phone: (787) 382-2583
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CDT HORMIGUEROS PREVENTIVE MEDICINE, INC is a general practice in Hormigueros, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CDT HORMIGUEROS PREVENTIVE MEDICINE, INC NPI is 1386928349. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cdt Hormigueros Preventive Medicine, Inc..

The provider's business location address is:

STREET 2 ,MUNOZ MARIN
CDT HORMIGUEROS
HORMIGUEROS, PR
ZIP 00660
Phone: (787) 382-2583

The provider's authorized official is Jimmy Olivera .
The authorized official title is Administrator and has the following contact phone number (787) 484-8273.

The CLIA number assigned to this NPI record is 40D2268599 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 10/7/2011.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
42085B0100XRadiologyBody ImagingNo
52085U0001XRadiologyDiagnostic UltrasoundNo
6208D00000XGeneral PracticeYes

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

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