# CORPORACION DEL FONDO DEL SEGURO DEL ESTADO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CDT REGION ARECIBO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619245487
- **Authorized official:** MR. JORGE ALBERTO GARCIA M.H.S.A (DIRECTOR EJECUTIVO)
- **Authorized official phone:** (787) 793-5959

## Contact information

- **Practice address:** CARR 2 AVE MIRAMAR, KM 78.7, ARECIBO, PR 00612
- **Practice address phone:** (787) 793-5959
- **Practice address fax:** (787) 782-0870
- **Mailing address:** PO BOX 365028, SAN JUAN, PR 00936-5028
- **Mailing address phone:** (787) 793-5959
- **Mailing address fax:** (787) 782-0870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | 125 | PR | Yes |

## Other

- **Enumeration date:** 12/08/2011
- **Last updated:** 12/08/2011