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Organization
CENTRO CLINICO DE VEGA ALTA CORP
Active
Organization
CENTRO CLINICO DE VEGA ALTA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARITZA TRINIDAD REYES MD (PRESIDENT)
(787) 617-6141
Entity
Organization
Contact information
Practice address
CALLE MUNOZ RIVERA NUM 5A, VEGA ALTA, PR 00692
(787) 883-5917
Mailing address
138 WINSTON CHURCHILL AVENUE, EL SENORIAL MAIL STATION 641, SAN JUAN, PR 00926
(787) 883-5917
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
08/21/2014
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