Provider Demographics
NPI:1235954496
Name:CONSALUD LLC
Entity type:Organization
Organization Name:CONSALUD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:J
Authorized Official - Last Name:DELIZ- VARELA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-246-8595
Mailing Address - Street 1:PO BOX 577
Mailing Address - Street 2:
Mailing Address - City:SABANA GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00637-0577
Mailing Address - Country:US
Mailing Address - Phone:787-246-8595
Mailing Address - Fax:800-641-9611
Practice Address - Street 1:8 CALLE JULIO VICTOR NUNEZ
Practice Address - Street 2:
Practice Address - City:SABANA GRANDE
Practice Address - State:PR
Practice Address - Zip Code:00637-1912
Practice Address - Country:US
Practice Address - Phone:787-246-8595
Practice Address - Fax:800-641-9611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty