Healthcare Provider Details

I. General information

NPI: 1699391276
Provider Name (Legal Business Name): NORTH IN HOSPITAL PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2020
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CALLE BLANCO SOSA
VEGA BAJA PR
00693-4475
US

IV. Provider business mailing address

PO BOX 4144
VEGA BAJA PR
00694-4144
US

V. Phone/Fax

Practice location:
  • Phone: 787-858-3775
  • Fax: 787-858-0840
Mailing address:
  • Phone: 787-858-3775
  • Fax: 787-858-0840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALFREDO RODRIGUEZ SANCHEZ
Title or Position: GENERAL PRACTITIONER
Credential: MD
Phone: 787-858-3775