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Organization
CANOVANAS MEDICAL CENTER CSP
Active
Organization
CANOVANAS MEDICAL CENTER CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R MELLADO DOCTOR (PRESIDENT)
(787) 876-5000
Entity
Organization
Contact information
Practice address
CALLE CORCHADO FINAL, CANOVANAS, PR 00729
(787) 876-5000
(787) 957-0761
Mailing address
PO BOX 2003, CANOVANAS, PUERTO RICO 00729
(787) 876-5000
(787) 957-0761
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/25/2015
Last updated
07/02/2021
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