# CENTRO DE SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro Servicios Primarios de Salud de Patillas Inc.-Sra. Luisa Conde
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922757004
- **Authorized official:** MRS. MILDRED MOREL ORTIZ BBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 839-4320

## Contact information

- **Practice address:** CALLE BARBOSA \#114 ESQ. DIOSDADO DONES, COMUNIDAD EL COCO BARRIO LAPA, SALINAS, PR 00751-0000
- **Practice address phone:** (787) 839-4320
- **Mailing address:** PO BOX 697, PATILLAS, PR 00723-0697
- **Mailing address phone:** (787) 839-4320
- **Mailing address fax:** (787) 271-0004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/23/2022
- **Last updated:** 03/23/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | F-750092 | STATE PHARMACY LICENSE | PR |