# INICIATIVA COMUNITARIA DE INVESTIGACION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Programa PITIRRE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992092555
- **Authorized official:** JOSE ANTONIO VARGAS-VIDOT MD (EXCECUTIVE DIRECTOR)
- **Authorized official phone:** (787) 250-8629

## Contact information

- **Practice address:** 100 AVE LAUREL, HOSPITAL RAMON RUIZ ARNAU, BAYAMON, PR 00956-4816
- **Practice address phone:** (787) 338-8383
- **Practice address fax:** (787) 338-8400
- **Mailing address:** PO BOX 366535, SAN JUAN, PR 00936-6535
- **Mailing address phone:** (787) 250-8629
- **Mailing address fax:** (787) 753-4454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 207QA0401X | NULL | Yes |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 10/14/2016