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Organization
PUERTO RICO VASCULAR ACCESS CENTER PSC
Active
Organization
PUERTO RICO VASCULAR ACCESS CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS G RIVERA M.D. (PRESIDENT)
(787) 361-0012
Entity
Organization
Contact information
Practice address
AVE PONCE DE LEON PDA 37 1/2, HOSP AUXILIO MUTUO 1ST FL, SAN JUAN, PR 00918-1227
(787) 758-3320
(787) 758-3358
Mailing address
PO BOX 361275, SAN JUAN, PR 00936-1275
(787) 758-3320
(787) 758-3358
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Enumeration date
05/21/2015
Last updated
10/29/2019
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