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2 Ave Boulevard Del Rio Carr 3 Humacao PR 00792 | |
| (787) 793-5959 | |
| (787) 852-9020 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 2 Ave Boulevard Del Rio, Humacao, Puerto Rico |
| Authorized Official Name and Position | Irma Santos (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7877935959 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2 Ave Boulevard Del Rio Carr 3 Humacao PR 00792 Ph: (787) 793-5959 | 2 Ave Boulevard Del Rio Carr 3 Humacao PR 00792 Ph: (787) 793-5959 |
| NPI Number | 1568905685 |
|---|---|
| Provider Enumeration Date | 11/21/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568905685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | 9607 (Puerto Rico) | Primary |
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