MEDICARE: SYNCOR CARIBE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1679784474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SYNCOR CARIBE

Provider Business Mailing Address
First Line	:	AVE MONSERRATE
Second Line	:	VALLE ARRIBA HEIGHTS AC8
City	:	CAROLINA
State	:	PR
Zip	:	00985-5444
Country	:	US
Telephone Number	:	787-769-8020
Fax Number	:	787-776-0353

Provider Business Practice Location Address
First Line	:	AVE MONSERRATE
Second Line	:	VALLE ARRIBA HEIGHTS AC8
City	:	CAROLINA
State	:	PR
Zip	:	00985-5444
Country	:	US
Telephone Number	:	787-769-8020
Fax Number	:	787-776-0353

Authorized Official
Title or Position	:	DIRECTOR
Name	:	NIVIA SOUFFRONT
Credential	:
Telephone Number	:	787-769-8020

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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Directions to “SYNCOR CARIBE ” Practice Location

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