| Programa Cuidado Integral Del Sida | |
|
355 Calle Font Martelo Humacao PR 00791-3249 | |
| (787) 852-0768 | |
| (787) 656-0735 |
| Full Name | Programa Cuidado Integral Del Sida |
|---|---|
| Speciality | Clinic/center |
| Location | 355 Calle Font Martelo, Humacao, Puerto Rico |
| Authorized Official Name and Position | Jose R Feliciano-sepulveda (EJECUTIVE DIRECTOR) |
| Authorized Official Contact | 7878520768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Programa Cuidado Integral Del Sida Po Box 859 Humacao PR 00792-0859 Ph: (787) 852-0768 | Programa Cuidado Integral Del Sida 355 Calle Font Martelo Humacao PR 00791-3249 Ph: (787) 852-0768 |
| NPI Number | 1942641154 |
|---|---|
| Provider Enumeration Date | 07/16/2013 |
| Last Update Date | 07/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942641154 | NPI | - | NPPES |
| 0436140001 | Other | PR | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 15F2515 (Puerto Rico) | Primary |
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