Healthcare Provider Details
I. General information
NPI: 1497269898
Provider Name (Legal Business Name): INTUITIVE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/21/2017
Last Update Date: 11/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1200 CARR 849 COND VISTA VERDE APT 364
SAN JUAN PR
00924-4563
US
IV. Provider business mailing address
PO BOX 30520
SAN JUAN PR
00929-1520
US
V. Phone/Fax
- Phone: 787-245-9323
- Fax: 787-701-1344
- Phone: 787-245-9323
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QE0002X |
| Taxonomy | Emergency Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TORU
HASHIDA
Title or Position: PRESIDENT
Credential: MD
Phone: 787-245-9323