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Organization
SALA DE EMERGENCIA SHALOM, INC
Active
Organization
SALA DE EMERGENCIA SHALOM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIBAL PAGAN ROMERO M.D. (MEDICAL DIRECTOR)
(787) 895-0914
Entity
Organization
Contact information
Practice address
CARR 2 KM 101 6, TERRANOVA MARGINAL DEL PARQUE, QUEBRADILLAS, PR 00678
(787) 895-0914
(787) 895-4999
Mailing address
PO BOX 903, QUEBRADILLAS, PR 00678-0903
(787) 895-0914
(787) 895-4999
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
13
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13
EMERGENCY CARE
PR
Enumeration date
02/10/2010
Last updated
02/10/2010
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