# CUMIC

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

## Provider details

- **NPI number:** 1881759108
- **Authorized official:** DR. NILDA CANDELARIO FERNANDEZ MD (PRESIDENT)
- **Authorized official phone:** (787) 798-3001

## Contact information

- **Practice address:** 100 AVE LAUREL, SANTA JUANITA, BAYAMON, PR 00956-4816
- **Practice address phone:** (787) 798-3001
- **Mailing address:** PO BOX 1786, BAYAMON, PR 00960-1786
- **Mailing address phone:** (787) 269-0988
- **Mailing address fax:** (787) 995-6925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/27/2006
- **Last updated:** 08/22/2020