# GRUPO MEDICO CENTRO MEDICINA ESPECILIZADA

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

## Provider details

- **NPI number:** 1093036840
- **Authorized official:** GABRIEL COLLAZO P. E. (PRESIDENT)
- **Authorized official phone:** (787) 466-6828

## Contact information

- **Practice address:** BARCELO \#12 , ESQ. \#173, CIDRA, PR 00739-0000
- **Practice address phone:** (787) 466-6828
- **Practice address fax:** (787) 739-5525
- **Mailing address:** BARCELO \#12 , ESQ. \#173, CIDRA, PR 00739-0000
- **Mailing address phone:** (787) 466-6828
- **Mailing address fax:** (787) 739-5525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | 122 | PR | Yes |

## Other

- **Enumeration date:** 06/16/2010
- **Last updated:** 06/16/2010