# CLINICA YAGUEZ INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PAVIA HEALTH CLINIC GUANICA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811455413
- **Authorized official:** MR. CARLOS I HUERTAS (FINANCE DIRECTOR)
- **Authorized official phone:** (787) 832-8444

## Contact information

- **Practice address:** CARR 116 RAMAL 1116 KM 27.7, GUANICA, PR 00653
- **Practice address phone:** (787) 821-0402
- **Practice address fax:** (787) 805-2840
- **Mailing address:** PO BOX 698, MAYAGUEZ, PR 00681-0698
- **Mailing address phone:** (787) 832-8444
- **Mailing address fax:** (787) 805-2840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/04/2019
- **Last updated:** 04/21/2020