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5 Calle Geronimo Martinez Aibonito PR 00705-3660 | |
| (787) 735-7859 | |
| (787) 954-7501 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5 Calle Geronimo Martinez, Aibonito, Puerto Rico |
| Authorized Official Name and Position | Luis Roberto Canas (PRESIDENT) |
| Authorized Official Contact | 7877357859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2000 Aibonito PR 00705-2000 Ph: (787) 735-7859 | 5 Calle Geronimo Martinez Aibonito PR 00705-3660 Ph: (787) 735-7859 |
| NPI Number | 1558748798 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 04/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558748798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 5047 (Puerto Rico) | Primary |
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