# POLICLINICA LA FAMILIA TOA ALTA, INC.

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

## Provider details

- **NPI number:** 1932136470
- **Authorized official:** DR. ITZA D CHEVRES M.D. (PRESIDENT)
- **Authorized official phone:** (787) 870-7121

## Contact information

- **Practice address:** 10ST \#G-21, URB. VILLA MATILDE, TOA ALTA, PR 00953
- **Practice address phone:** (787) 870-7070
- **Practice address fax:** (787) 870-6382
- **Mailing address:** PO BOX 867, TOA ALTA, PR 00954-0867
- **Mailing address phone:** (787) 870-7070
- **Mailing address fax:** (787) 870-6382

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 13168 | PR | — |
| 174400000X | Specialist | 14703 | PR | — |
| 174400000X | Specialist | 7078 | PR | — |
| 2085R0202X | Diagnostic Radiology Physician | 2532 | PR | — |
| 302R00000X | Health Maintenance Organization | 10413 | PR | — |
| 302R00000X | Health Maintenance Organization | 14247 | PR | — |
| 302R00000X | Health Maintenance Organization | 5109 | PR | — |
| 302R00000X | Health Maintenance Organization | 9462 | PR | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 07/06/2011