Healthcare Provider Details

I. General information

NPI: 1003966581
Provider Name (Legal Business Name): CENTRO DE EMERGENCIA Y CUIDADO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 09/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO CUEVAS CARR 385 KM. 0.5 SUITE 110
PENUELAS PR
00624
US

IV. Provider business mailing address

PO BOX 8
PENUELAS PR
00624-0008
US

V. Phone/Fax

Practice location:
  • Phone: 787-836-4554
  • Fax: 787-836-1396
Mailing address:
  • Phone: 787-836-4554
  • Fax: 787-836-1396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number81
License Number StatePR

VIII. Authorized Official

Name: MR. NOEL PADRO
Title or Position: PRESIDENT
Credential: RPH
Phone: 787-836-4554