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Organization
DISPENSARIO DE UTUADO
Active
Organization
DISPENSARIO DE UTUADO
Active
Parent organization
CORPORACION DEL FONDO DEL SEGURO DEL ESTADO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CORPORACION DEL FONDO DEL SEGURO DEL ESTADO
Authorized official
DR. LUIS H PADRO ROSADO M.D. (REGIONAL MEDICAL DIRECTOR)
(787) 894-8332
Entity
Organization
Contact information
Practice address
39 AVE FERNANDO RIBAS, UTUADO, PR 00641-2300
(787) 894-8332
(787) 894-1234
Mailing address
PO BOX 571, UTUADO, PR 00641-0571
(787) 894-8332
(787) 894-1234
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
80
PR
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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