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Organization
CASA JOVEN DEL CARIBE, INC.
Active
Organization
CASA JOVEN DEL CARIBE, INC.
Active
Other names
CLINICA RENACER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL AGOSTO LOPEZ (DIRECTOR SERVICIOS CLINICOS)
(787) 644-0194
Entity
Organization
Contact information
Practice address
537 CALLE EXT S, DORADO, PR 00646-5016
(787) 796-2832
(787) 796-2832
Mailing address
PO BOX 694, DORADO, PR 00646-0694
(787) 796-2832
(787) 796-2832
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
16726
PR
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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