Healthcare Provider Details

I. General information

NPI: 1528226776
Provider Name (Legal Business Name): CIDRA ER GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2008
Last Update Date: 05/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE FRANCISCO CRUZ HADDOCK NUM 5 URB FERNANDEZ
CIDRA PR
00739
US

IV. Provider business mailing address

PMB 659 NUMERO 138 AVENIDA WINSTON CHURCHILL
SAN JUAN PR
00926
US

V. Phone/Fax

Practice location:
  • Phone: 787-614-5231
  • Fax:
Mailing address:
  • Phone: 787-614-5231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JUAN CARLOS RAMOS
Title or Position: PRESIDENT
Credential:
Phone: 787-614-5231