Provider Demographics
NPI:1871894261
Name:INSTITUTO GINECO-OBSTETRICO UNIVERSITARIO, C.S.P.
Entity type:Organization
Organization Name:INSTITUTO GINECO-OBSTETRICO UNIVERSITARIO, C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANGEL
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-479-8974
Mailing Address - Street 1:P.O. BOX 6616
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00914
Mailing Address - Country:US
Mailing Address - Phone:787-479-8974
Mailing Address - Fax:787-787-5151
Practice Address - Street 1:HOSPITAL UNIVERISTARIO DR. RAMON RUIZ ARNAU
Practice Address - Street 2:CALLE LAUREL # 100 URB. SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-479-8974
Practice Address - Fax:787-787-5151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-16
Last Update Date:2010-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6399261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health