Centro Medico Iberoamericano Inc.
LBN: Centro Medico Iberoamericano Inc.
Centro Medico Iberoamericano Inc. is an health care organization with primary practice located at 416 Park Ave , Paterson NJ 07504-1930. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Centro Medico Iberoamericano Inc. can be contacted via phone (973) 684-8138, or through Sandoval, Ramon Antonio via phone (973) 684-8138.
Contact Information
Primary practice address
416 Park Ave
Paterson NJ 07504-1930
Phone: (973) 684-8138
Fax: (973) 684-0032
Website:
Authorized official contact:
Name: Sandoval, Ramon Antonio Doctor of Medicine (MD)
Phone: (973) 684-8138
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | New Jersey |
Profile Details
| NPI number | 1255520482 |
|---|---|
| LBN Legal business name | Centro Medico Iberoamericano Inc. |
| DBA Doing business as | |
| Authorized official | Sandoval, Ramon Antonio Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2007 |
| Last updated | Dec 19th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255520482 | NPPES |
| Other | 1055488 | HORIZON NJ HEALTH | |
| MEDICAID | 6051308 | HORIZON NJ HEALTH | |
| Other | F73229 | HORIZON NJ HEALTH |
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