Provider Demographics
NPI:1679535587
Name:CARIBBEAN SURGY CENTER, INC
Entity type:Organization
Organization Name:CARIBBEAN SURGY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HIRAM
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINONES-FERRER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-842-0203
Mailing Address - Street 1:8024 CALLE CONCORDIA
Mailing Address - Street 2:STE 100 URB SANTA MARIA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717-1510
Mailing Address - Country:US
Mailing Address - Phone:787-812-2218
Mailing Address - Fax:787-812-2075
Practice Address - Street 1:8024 CALLE CONCORDIA
Practice Address - Street 2:STE 100 URB SANTA MARIA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1510
Practice Address - Country:US
Practice Address - Phone:787-812-2218
Practice Address - Fax:787-812-2075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2020-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR20261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
0018090Medicare ID - Type Unspecified