# CDT MARIO CANALES TORRESOLA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CDT MARIO CANALES TORRESOLA
- **Other names:** Municipio de Jayuya
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699913293
- **Legal business name:** CDT MARIO CANALES TORRESOLA
- **Authorized official:** MRS. WANDA ZAMORA AMBERT (ADMINISTRATOR)
- **Authorized official phone:** (787) 828-0305

## Contact information

- **Practice address:** 2 CALLE CEMENTERIO, JAYUYA, PR 00664-1452
- **Practice address phone:** (787) 828-0305
- **Practice address fax:** (787) 828-0901
- **Mailing address:** PO BOX 488, JAYUYA, PR 00664-0488
- **Mailing address phone:** (787) 828-0305
- **Mailing address fax:** (787) 828-0901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 10849 | PR | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 02/04/2009