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Organization
GRUPO MEDICO POLICLINICA LA FAMILIA
Active
Organization
GRUPO MEDICO POLICLINICA LA FAMILIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ITZA D CHEVRES (EXECUTIVE DIRECTOR)
(787) 870-7121
Entity
Organization
Contact information
Practice address
G21 CALLE 10, VILLA MATILDE, TOA ALTA, PR 00953-2322
(787) 870-7121
(787) 870-6382
Mailing address
PO BOX 867, TOA ALTA, PR 00954-0867
(787) 870-7121
(787) 870-6382
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
9462
PR
261QR0200X
Radiology Clinic/Center
Primary
012446
PR
261QR0200X
Radiology Clinic/Center
2532
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205814761
NPI
PR
01
—
1588751481
NPI
PR
01
—
1669413720
NPI
PR
Enumeration date
10/22/2008
Last updated
10/22/2008
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