# POLICLINICA BALDORIOTY

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

## Provider details

- **NPI number:** 1295875169
- **Authorized official:** RAFAEL MARCHENA (ADMINISTRATOR)
- **Authorized official phone:** (787) 568-8263

## Contact information

- **Practice address:** 482 CALLE FERNANDO CALDER, URB ROOSVELT, SAN JUAN, PR 00918-2744
- **Practice address phone:** (787) 568-8263
- **Mailing address:** COND CASTILLO DEL MAR, SUITE 1358, CAROLINA, PR 00979-5300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 86269 | PR | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 08/22/2020