# CENTRO DE CIRUGIA AMBULATORIA LASER MEDICO INC

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

## Provider details

- **NPI number:** 1962472845
- **Authorized official:** DR. MARCEL P TOLLINCHE M.D. (PRESIDENT)
- **Authorized official phone:** (787) 780-0404

## Contact information

- **Practice address:** MEDICAL OPHTHALMIC PLAZA, 1875 CARR 2 SUITE 303, BAYAMON, PR 00959-7217
- **Practice address phone:** (787) 780-0404
- **Practice address fax:** (787) 780-0411
- **Mailing address:** MEDICAL OPHTHALMIC PLAZA, 1875 CARR 2 SUITE 303, BAYAMON, PR 00959-7217
- **Mailing address phone:** (787) 780-0404
- **Mailing address fax:** (787) 780-0411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 3 CNC 97 206 | PR | Yes |

## Other

- **Enumeration date:** 01/24/2006
- **Last updated:** 11/29/2012
