Healthcare Provider Details
I. General information
NPI: 1750796496
Provider Name (Legal Business Name): CENTRO DE SALUD MEDICINA OCUPACIONAL INTEGRAL, PSC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2014
Last Update Date: 06/20/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
D 21 CALLE MARGARITA URB BOSQUE DE LAS FLORES
BAYAMON PR
00956
US
IV. Provider business mailing address
D 21 CALLE MARGARITA URB BOSQUE DE LAS FLORES
BAYAMON PR
00956
US
V. Phone/Fax
- Phone: 787-636-5788
- Fax:
- Phone: 787-636-5788
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name: MR.
HECTOR
FELIX
GARCIA
Title or Position: PRESIDENT
Credential:
Phone: 787-636-5788