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Carr 2 Km 126.4 Bo Caimital Bajo Aguadilla PR 00603 | |
| (787) 891-0805 | |
| (787) 882-4605 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | Carr 2 Km 126.4, Aguadilla, Puerto Rico |
| Authorized Official Name and Position | Juan Francisco Hernandez (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7878910805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 336 Aguadilla PR 00605-0336 Ph: (787) 891-0805 | Carr 2 Km 126.4 Bo Caimital Bajo Aguadilla PR 00603 Ph: (787) 891-0805 |
| NPI Number | 1689106932 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 03/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689106932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 8543 (Puerto Rico) | Primary |
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