Healthcare Provider Details

I. General information

NPI: 1821847914
Provider Name (Legal Business Name): CLINICA CORAZONES UNIDOS S.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C. PADRE FANTINO FALCO 21 ENSANCHE NACO
SANTO DOMINGO SANTO DOMINGO
00000
DO

IV. Provider business mailing address

PO BOX 39192
FORT LAUDERDALE FL
33339-9192
US

V. Phone/Fax

Practice location:
  • Phone: 809-567-4421
  • Fax:
Mailing address:
  • Phone: 954-526-9751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MARITZA MORETA
Title or Position: MANAGER
Credential:
Phone: 809-567-4421