# CORPORACION PROFESIONAL SALUD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corporacion Profesional Salud Femenina en Excelencia, CORPORACION PROFESIONAL SALUD FEMENINA EN EXCELENCIA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235432584
- **Authorized official:** RAFAEL E VICENS (PRESIDENT)
- **Authorized official phone:** (787) 850-1695

## Contact information

- **Practice address:** AVE RAFAEL ARROYO RIOS \#7, HUMACAO, PR 00792
- **Practice address phone:** (787) 850-1695
- **Practice address fax:** (787) 850-1695
- **Mailing address:** PO BOX 9190, HUMACAO, PR 00792-9190
- **Mailing address phone:** (787) 850-1695
- **Mailing address fax:** (787) 850-1695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 4675 | PR | Yes |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 12/10/2019
