# CLINICA YAGUEZ, INC.

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

## Provider details

- **NPI number:** 1326069220
- **Authorized official:** MR. EDUARDO JOSE ARTAU (PRESIDENTE)
- **Authorized official phone:** (787) 832-8444

## Contact information

- **Practice address:** 117 CALLE RAMON VALDES, MAYAGUEZ, PR 00680-3839
- **Practice address phone:** (787) 832-8444
- **Practice address fax:** (787) 805-7440
- **Mailing address:** PO BOX 698, MAYAGUEZ, PR 00681-0698
- **Mailing address phone:** (787) 832-8444
- **Mailing address fax:** (787) 805-7440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 129 | PR | Yes |
| 291U00000X | Clinical Medical Laboratory | 837 | PR | — |

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 04/21/2020