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Organization
PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO
Active
Organization
PUERTO RICO PRIMARY CARE MSO, INC. - CDT LUQUILLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEILA CENTENO (ADMINISTRATOR)
(787) 534-3789
Entity
Organization
Contact information
Practice address
CALLE 14 DE JULIO NO 159, BO MATA DE PLATANO, LUQUILLO, PR 00773
(787) 885-4446
(787) 885-6129
Mailing address
PO BOX 818, CEIBA, PR 00735-0818
(787) 534-3789
(787) 885-2525
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/24/2022
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