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Organization

QUANTICO HEALTH SERVICES, CORP.

Active
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Organization

QUANTICO HEALTH SERVICES, CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LIZETTE SEGARRA (OPERATIONS MANAGER)
(787) 673-1142
Entity
Organization

Contact information

Practice address
6777 MARGINAL BIASCOCHEA, ISLA VERDE MALL SUITE 218, CAROLINA, PR 00979-7603
(787) 331-1181
Mailing address
PO BOX 3042, GUAYNABO, PR 00970-3042
(787) 673-1142

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—

Other

Enumeration date
02/05/2018
Last updated
02/05/2018
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