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Organization
CLINICA YAGUEZ INC
Active
Organization
CLINICA YAGUEZ INC
Active
Other names
CENTRO RADIOLOGICO PAVIA HEALTH CLINIC ANASCO
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS I HUERTAS (FINANCE DIRECTOR)
(787) 832-8444
Entity
Organization
Contact information
Practice address
1 CARR 402 ZONA INDUSTRIAL, BO MARIAS, ANASCO, PR 00610-2017
(787) 832-8444
(787) 805-2840
Mailing address
PO BOX 698, MAYAGUEZ, PR 00681-0698
(787) 832-8444
(787) 805-2840
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
NULL
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084907
0084907
PR
01
—
GI092A
GI092A
PR
Enumeration date
10/25/2019
Last updated
04/21/2020
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