Healthcare Provider Details

I. General information

NPI: 1821366758
Provider Name (Legal Business Name): OROCOVIS HEALTH CARE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2011
Last Update Date: 12/07/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CALLE PEDRO ARROYO
OROCOVIS PR
00720-4506
US

IV. Provider business mailing address

50 CALLE PEDRO ARROYO PO BOX 154
OROCOVIS PR
00720-4506
US

V. Phone/Fax

Practice location:
  • Phone: 787-205-7491
  • Fax:
Mailing address:
  • Phone: 787-205-7491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number12067
License Number StatePR

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MISS MARIBEL ALVARADO
Title or Position: VICE PRESIDENTE
Credential:
Phone: 787-205-7491