Healthcare Provider Details

I. General information

NPI: 1033379326
Provider Name (Legal Business Name): CENTRO MEDICO SALINAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2008
Last Update Date: 06/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE UNION #25
SALINAS PR
00751-0326
US

IV. Provider business mailing address

PO BOX 326
SALINAS PR
00751-0326
US

V. Phone/Fax

Practice location:
  • Phone: 787-824-4562
  • Fax: 787-824-7689
Mailing address:
  • Phone: 787-824-4562
  • Fax: 787-824-7689

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. MARIA C PADILLA RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 787-848-5194