# CENTRO CLINICO DEL YUNQUE, CSP

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

## Provider details

- **NPI number:** 1265722383
- **Authorized official:** DR. JOSE ROLANDO PENA M.D. (PRESIDENT)
- **Authorized official phone:** (787) 887-7837

## Contact information

- **Practice address:** 3001, SUITE 247 VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
- **Practice address phone:** (787) 887-7837
- **Practice address fax:** (787) 887-7837
- **Mailing address:** BOX 3001, SUITE 247 VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
- **Mailing address phone:** (787) 887-7837
- **Mailing address fax:** (787) 887-7837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 011221 | PR | Yes |

## Other

- **Enumeration date:** 04/11/2011
- **Last updated:** 04/11/2011