| Cmda De Puertorico, Inc. | |
|
51 Calle Dr Veve Bayamon PR 00961-6362 | |
| (787) 780-1445 | |
| Not Available |
| Full Name | Cmda De Puertorico, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 51 Calle Dr Veve, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Dietrich K. Gentsch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7877802425 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmda De Puertorico, Inc. Po Box 6181 Bayamon PR 00960-5181 Ph: (787) 780-1445 | Cmda De Puertorico, Inc. 51 Calle Dr Veve Bayamon PR 00961-6362 Ph: (787) 780-1445 |
| NPI Number | 1396712931 |
|---|---|
| Provider Enumeration Date | 03/02/2006 |
| Last Update Date | 05/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396712931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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