Templo Sagrado De Iniciacion Resurrecion Y Ascencion INC
Specialist in Juncos, PR. Organization (NPI-2).
NPI number1265723977
StatusActive
Last updated in NPPESApr 28, 2011
Details
- NPI
- 1265723977
- Entity type
- Organization (NPI-2)
- Legal business name
- Templo Sagrado De Iniciacion Resurrecion Y Ascencion INC
- Organization subpart
- No
- Enumeration date
- Apr 28, 2011
- Last updated
- Apr 28, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 47784 | PR | Yes |
Other names
- Templo Sagrado De Ira (Other Name)
Practice location
40 Teodomiro Delfaus StJuncos, PR 00777
Phone 510-606-7615
Mailing address
40 Teodomiro Delfaus StJuncos, PR 00777
Phone 510-606-7615
Authorized official
Federico Delgado
High Priest
5106067516
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All 8 Specialist providers in Juncos · All 369 providers in Juncos
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