# OFICINA MEDICA DR POLANCO CSP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oficina Medica Dr Polanco CSP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699937110
- **Authorized official:** MRS. NANCY M NIEVES (VICE PRESIDENTE)
- **Authorized official phone:** (787) 879-3352

## Contact information

- **Practice address:** 14 CALLE GONZALO MARIN, ARECIBO, PR 00612-4703
- **Practice address phone:** (787) 879-3352
- **Practice address fax:** (787) 880-3016
- **Mailing address:** PO BOX 144035, PMB 453, ARECIBO, PR 00614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 8462 | PR | Yes |

## Other

- **Enumeration date:** 06/26/2008
- **Last updated:** 08/18/2014