CENTRO DE DIAGNOSTICO Y TRATAMIENTO PATILLAS NPI 1639396484

NPI Information

NPI: 1639396484
Provider Name: CENTRO DE DIAGNOSTICO Y TRATAMIENTO PATILLAS

Other Name: CDT DE PATILLAS

Classification: Clinic/Center - 261QE0002X
Entity Type: Organization

Specialization: Emergency Care

CLIA Number: 40D2197514

Address:
CDT PATILLAS
CALLE RIEFKOL CARR. 3 KM. 27.1
PATILLAS, PR
ZIP 00731
Phone: (787) 839-4360
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CENTRO DE DIAGNOSTICO Y TRATAMIENTO PATILLAS is an emergency care clinic center in Patillas, PR. CENTRO DE DIAGNOSTICO Y TRATAMIENTO PATILLAS NPI is 1639396484. The provider is registered as an organization entity type.
The provider Other Name Is Cdt De Patillas.

The provider's business location address is:

CDT PATILLAS
CALLE RIEFKOL CARR. 3 KM. 27.1
PATILLAS, PR
ZIP 00731
Phone: (787) 839-4360
Fax: (787) 271-0004

The provider's authorized official is Carmen R Rodriguez .
The authorized official title is Directora Ejecutiva and has the following contact phone number (787) 771-2100.

The CLIA number assigned to this NPI record is 40D2197514 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2007 and was last updated on 8/22/2020.

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	55	PUERTO RICO	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	42032	OTHER	PUERTO RICO	E R
2	S806	OTHER	PUERTO RICO	E R
3	SH33481	OTHER	PUERTO RICO	E R
4	00381	OTHER	PUERTO RICO	E R
5	40154	OTHER	PUERTO RICO	E R
6	600350	OTHER	PUERTO RICO	E R
7	6604363425P	OTHER	PUERTO RICO	E R
8	1001752	OTHER	PUERTO RICO	E R
9	19191	OTHER	PUERTO RICO	E R
10	101016	OTHER	PUERTO RICO	E R
11	7230104	OTHER	PUERTO RICO	E R

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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