# SERVICIOS MEDICOS DR ALCANTARA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** POLICLINICA DR ALCANTARA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386241537
- **Authorized official:** DR. TEMMY SAINT HILAIRE MD (HEAD DR)
- **Authorized official phone:** (787) 615-6370

## Contact information

- **Practice address:** AVE SIMON MADERA 804 VILLA PRADES, SAN JUAN, PR 00924
- **Practice address phone:** (787) 763-2228
- **Mailing address:** PO BOX 362204, SAN JUAN, PR 00936-2204
- **Mailing address phone:** (787) 763-2228
- **Mailing address fax:** (787) 763-2228

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2020
- **Last updated:** 10/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7877632228 | — | PR |