| Guaynabo Health Providers, Corp. | |
|
140 Ave Las Cumbres Guaynabo Medical Mall Guaynabo PR 00969-5523 | |
| (787) 720-5050 | |
| (787) 720-4949 |
| Full Name | Guaynabo Health Providers, Corp. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 140 Ave Las Cumbres, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Liliana Medina (PRESIDENT) |
| Authorized Official Contact | 7877205050 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guaynabo Health Providers, Corp. Pmb 205 Po Box 70344 San Juan PR 00936-8344 Ph: (787) 720-5050 | Guaynabo Health Providers, Corp. 140 Ave Las Cumbres Guaynabo Medical Mall Guaynabo PR 00969-5523 Ph: (787) 720-5050 |
| NPI Number | 1871868547 |
|---|---|
| Provider Enumeration Date | 03/14/2012 |
| Last Update Date | 03/14/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871868547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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