# POLICLINICA DR RIVERA TORO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053493890
- **Authorized official:** MRS. PATRIA SANTANA (PRESIDENTA)
- **Authorized official phone:** (787) 887-3520

## Contact information

- **Practice address:** AGUSTIN PEREZ A-1, RIO GRANDE, PR 00745
- **Practice address phone:** (787) 887-3520
- **Mailing address:** PO BOX 939, RIO GRANDE, PR 00745-0939
- **Mailing address phone:** (787) 887-3520

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/20/2006
- **Last updated:** 10/30/2013