# COLONIAL MEDICAL MANAGEMENT, CORP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro de Diagnostico y Tratamiento de Anasco
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215290374
- **Authorized official:** MR. PABLO SERRANO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (787) 826-8082

## Contact information

- **Practice address:** CARRETERA 402 KM 1.8, BO. MARIAS, ANASCO, PR 00610
- **Practice address phone:** (787) 826-8082
- **Mailing address:** PO BOX 1438, RINCON, PR 00677
- **Mailing address phone:** (787) 826-8082

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2012
- **Last updated:** 07/11/2012