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Organization
CDT CENTRO DE MEDICINA PRIMARIA DE VEGA ALTA CORP
Active
Organization
CDT CENTRO DE MEDICINA PRIMARIA DE VEGA ALTA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILDALIAS DOMINGUEZ MD (PRESIDENT)
(787) 883-0124
Entity
Organization
Contact information
Practice address
3 CALLE LUIS MUNOZ RIVERA, VEGA ALTA, PR 00692
(787) 883-0124
(787) 883-0222
Mailing address
3 CALLE LUIS MUNOZ RIVERA, VEGA ALTA, PR 00692
(787) 883-0124
(787) 883-0222
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
53353
PR
Other
Enumeration date
07/21/2015
Last updated
01/25/2016
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