# QUEBRADILLAS MEDICAL CENTER PSC

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

## Provider details

- **NPI number:** 1417109240
- **Authorized official:** JUAN CARLOS CRUZ CRUZ MD (MD)
- **Authorized official phone:** (939) 429-2383

## Contact information

- **Practice address:** CARR \#2 KM 96.8, BO COCOS, QUEBRADILLAS, PR 00678
- **Practice address phone:** (787) 612-8094
- **Mailing address:** 42818 CARR 482, QUEBRADILLAS, PR 00678-1120
- **Mailing address phone:** (939) 429-2383
- **Mailing address fax:** (787) 500-2015

## Taxonomy

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

## Other

- **Enumeration date:** 10/10/2008
- **Last updated:** 10/24/2023