# CENTRO NEUMOLOGICO DE HUMACAO LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770932857
- **Authorized official:** DR. LUIS C TORRELLAS RUIZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 474-0406

## Contact information

- **Practice address:** 47 CALLE FONT MARTELO, URB EL RECREO, HUMACAO, PR 00791-3345
- **Practice address phone:** (787) 474-0406
- **Mailing address:** PO BOX 9290, HUMACAO, PR 00792-9290
- **Mailing address phone:** (787) 474-0406
- **Mailing address fax:** (787) 719-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | 13413 | PR | Yes |

## Other

- **Enumeration date:** 06/08/2016
- **Last updated:** 04/27/2017