# CENTRO DE MEDICINA INTEGRAL DE MANATI,INC

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

## Provider details

- **NPI number:** 1598180267
- **Authorized official:** DR. MILDALIAS DOMINGUEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 810-1322

## Contact information

- **Practice address:** BO. COTTO \# 77, URB. FELIX CORDOVA DAVILA, MANATI, PR 00674
- **Practice address phone:** (787) 854-9000
- **Practice address fax:** (787) 854-9000
- **Mailing address:** PO BOX 4317, VEGA BAJA, PR 00694-4317
- **Mailing address phone:** (787) 854-9000
- **Mailing address fax:** (787) 884-9719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2014
- **Last updated:** 03/04/2014