Healthcare Provider Details

I. General information

NPI: 1437157070
Provider Name (Legal Business Name): MULTIDISCIPLINARY PATIENT HEALTH CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2005
Last Update Date: 04/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

KM 48.6 BO BEATRIZ
CIDRA PR
00739
US

IV. Provider business mailing address

PO BOX 1511
CAGUAS PR
00726-1511
US

V. Phone/Fax

Practice location:
  • Phone: 787-258-1385
  • Fax: 787-258-1385
Mailing address:
  • Phone: 787-258-1385
  • Fax: 787-258-1385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: DULCE M. SOTO SOTO
Title or Position: OWNER
Credential:
Phone: 787-258-1385