# CLINICA TODO SALUD, LLC

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

## Provider details

- **NPI number:** 1417574039
- **Authorized official:** MRS. MIRELLA M BAEZ MSW (AVP)
- **Authorized official phone:** (787) 463-3465

## Contact information

- **Practice address:** 53 CLL FELIX RIOS \#71, AIBONITO, PR 00705
- **Practice address phone:** (787) 622-3000
- **Mailing address:** PO BOX 71114, SAN JUAN, PR 00936-8014
- **Mailing address phone:** (787) 622-3000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | Yes |
| 261QC0050X | Critical Access Hospital Clinic/Center | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | — |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QH0100X | Health Service Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 302F00000X | Exclusive Provider Organization | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2020
- **Last updated:** 06/30/2020