# POLICLINICA DEL ATLANTICO

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760638555
- **Authorized official:** DR. ADRIAN GIRALD IV M.D. (PRESIDENT)
- **Authorized official phone:** (787) 830-7737

## Contact information

- **Practice address:** CARR. \#2 K.M. 111.2, BO. MORA, ISABELA, PR 00662
- **Practice address phone:** (787) 830-7737
- **Practice address fax:** (787) 830-7839
- **Mailing address:** PMB 226, PO BOX 80,000, ISABELA, PR 00662
- **Mailing address phone:** (787) 830-7737
- **Mailing address fax:** (787) 830-7839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 1149 | PR | Yes |

## Other

- **Enumeration date:** 08/12/2008
- **Last updated:** 08/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1149 | — | PR |