# ADVANCE ADULT MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1083840136
- **Authorized official:** DR. JOSEPH S CAMPOS SALGADO DR. (PRESIDENTE)
- **Authorized official phone:** (787) 731-4949

## Contact information

- **Practice address:** PLAZA GUAYNABO SHOPPING MALL, ALTOS CARIBBEAN CINEMAS, SUITE 201, GUAYNABO, PR 00970
- **Practice address phone:** (787) 731-4949
- **Practice address fax:** (787) 731-4949
- **Mailing address:** 864 C/ ASHFORD APT. 610 FLANBOYAN APT., SAN JUAN, PR 00907
- **Mailing address phone:** (787) 731-4949
- **Mailing address fax:** (787) 731-4949

## Taxonomy

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

## Other

- **Enumeration date:** 06/03/2009
- **Last updated:** 06/03/2009