# CENTRO DE SERVICIOS DE REUMATOLOGIA PSC

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

## Provider details

- **NPI number:** 1417239336
- **Authorized official:** DR. JORGE A MUNDO M.D. (OWNER)
- **Authorized official phone:** (787) 850-6005

## Contact information

- **Practice address:** 114 CALLE ANTONIO LOPEZ S, HUMACAO, PR 00791-4249
- **Practice address phone:** (787) 850-6005
- **Mailing address:** PO BOX 1447, JUNCOS, PR 00777-1447
- **Mailing address phone:** (787) 850-6005
- **Mailing address fax:** (787) 852-5449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 8410 | PR | Yes |

## Other

- **Enumeration date:** 09/16/2011
- **Last updated:** 11/28/2012