Healthcare Provider Details

I. General information

NPI: 1043549090
Provider Name (Legal Business Name): CLENDO OCCUPATIONAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2009
Last Update Date: 12/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 CALLE HIPODROMO
SANTURCE PR
00909-2516
US

IV. Provider business mailing address

PO BOX 549
BAYAMON PR
00960-0549
US

V. Phone/Fax

Practice location:
  • Phone: 787-724-3735
  • Fax: 787-724-1322
Mailing address:
  • Phone: 787-620-9095
  • Fax: 787-740-8544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSE R RODRIGUEZ
Title or Position: EXECUTIVE ADMINISTRATOR
Credential:
Phone: 787-620-9095