Provider Demographics
NPI:1366753774
Name:HUERTAS JUNIOR COLLEGE
Entity type:Organization
Organization Name:HUERTAS JUNIOR COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:787-746-1400
Mailing Address - Street 1:P.O. BOX 8429
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-8429
Mailing Address - Country:US
Mailing Address - Phone:787-746-1400
Mailing Address - Fax:787-743-0203
Practice Address - Street 1:CALLE HECTOR R. BUNKER # 41
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726-8429
Practice Address - Country:US
Practice Address - Phone:787-746-1400
Practice Address - Fax:787-743-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty