Active NPIOrganization

Club Del Desarrollo Integral, Psc

Clinic/Center, Multi-Specialty in Guaynabo, Puerto Rico

NPI Number1134650880
Practice location
110 Calle Carazo, Guaynabo, PR 00969-5717
Fax
—
Last updated
March 24, 2017

Club Del Desarrollo Integral, Psc is a healthcare organization based in Guaynabo, PR. Club Del Desarrollo Integral, Psc practices in Guaynabo, PR. The NPI Number for Club Del Desarrollo Integral, Psc is 1134650880 and holds a License No. 1361 (PR). The current practice location address for Club Del Desarrollo Integral, Psc is 110 Calle Carazo, Guaynabo, PR 00969-5717 and can be reached out via phone at 787-790-1583.

Provider Profile Details

NPI Number
1134650880
Provider Name
Club Del Desarrollo Integral, Psc
Provider Entity Type
Organization
Address
110 Calle Carazo, Guaynabo, PR 00969-5717
Phone Number
787-790-1583
Primary Taxonomy
Clinic/Center, Multi-Specialty · 261QM1300X
Organization Subpart
No
Authorized Official
Mr. Raul Rivera Vega · President · 787-790-1583
Provider Enumeration Date
March 24, 2017
Last Update Date
March 24, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Calle Carazo
Guaynabo, PR 00969-5717
Zip
00969-5717
Phone Number
787-790-1583
Guaynabo, PR 00969Get directions →

Provider Business Mailing Address Details

Address
110 Calle Carazo
Guaynabo, PR 00969-5717
City
Guaynabo
State
PR
Zip
00969-5717
Phone Number
787-790-1583

License Information

License Number (1)
1361
License State (1)
PR
Taxonomy (1)
Clinic/Center, Physical Therapy · 261QP2000X
License Number (2)
1008
License State (2)
PR
Taxonomy (2)
Clinic/Center, Multi-Specialty · 261QM1300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Club Del Desarrollo Integral, Psc?

The NPI number of Club Del Desarrollo Integral, Psc is 1134650880. It was assigned on March 24, 2017 and is currently active in the NPPES registry.

What is the specialty of Club Del Desarrollo Integral, Psc?

Club Del Desarrollo Integral, Psc is registered under the primary taxonomy Clinic/Center, Multi-Specialty (code 261QM1300X), licensed in PR under license number 1361.

Where does Club Del Desarrollo Integral, Psc practice?

The practice location is 110 Calle Carazo, Guaynabo, PR 00969-5717. The office can be reached at 787-790-1583 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134650880 directly on the NPPES registry website.

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