Provider Demographics
NPI:1366695595
Name:CENTRO DE SALUD FAMILIAR DR. JULIO PALMIERI FERRI INC.
Entity type:Organization
Organization Name:CENTRO DE SALUD FAMILIAR DR. JULIO PALMIERI FERRI INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:M
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-839-4150
Mailing Address - Street 1:PO BOX 450
Mailing Address - Street 2:
Mailing Address - City:ARROYO
Mailing Address - State:PR
Mailing Address - Zip Code:00714-0450
Mailing Address - Country:US
Mailing Address - Phone:787-839-4150
Mailing Address - Fax:787-839-3989
Practice Address - Street 1:CALLE MORSE ESQUINA VALENTINA
Practice Address - Street 2:
Practice Address - City:ARROYO
Practice Address - State:PR
Practice Address - Zip Code:00714-0450
Practice Address - Country:US
Practice Address - Phone:787-839-4150
Practice Address - Fax:787-839-3989
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR987291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR401803Medicare Oscar/Certification