# PROSALUD MEDICAL CENTER P S C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CENTRO RADIOLOGICO PROSALUD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992100515
- **Authorized official:** HUBER TAVAREZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 648-9085

## Contact information

- **Practice address:** CARR 474 KM 2.2 CALLE FELIPE MENDEZ, BO. COTO, ISABELA, PR 00662-0000
- **Practice address phone:** (787) 648-9085
- **Practice address fax:** (787) 830-7472
- **Mailing address:** PO BOX 1927, ISABELA, PR 00662-1927
- **Mailing address phone:** (787) 648-9085
- **Mailing address fax:** (787) 830-7472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | TXR | PR | Yes |

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 05/06/2015