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Organization
PREPVEN CORP
Active
Organization
PREPVEN CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD COLLAZO PAGAN MD (DIRECTOR)
(787) 918-8618
Entity
Organization
Contact information
Practice address
315 CALLE MANUEL DOMENECH STE 1, SAN JUAN, PR 00918-3513
(787) 918-8618
Mailing address
315 AVE MANUEL DOMENECH STE 1, SAN JUAN, PR 00918-3513
(787) 918-8618
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039197200
—
PR
Enumeration date
07/12/2020
Last updated
01/10/2022
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