# POLICLINICA FAMILIAR SHALOM INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SERVICIOS PREVENTIVOS DE QUEBRADILLAS
- **Other names:** Policlinica Familiar Shalom Inc
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992233522
- **Legal business name:** SERVICIOS PREVENTIVOS DE QUEBRADILLAS
- **Authorized official:** MRS. VIVIAN FELICIANO (DIRECTORA EJECUTIVA)
- **Authorized official phone:** (787) 291-0909

## Contact information

- **Practice address:** CARR \#2 KM 101.6, BARRIO TERRANOVA CALLE HARGINAL DEL PARQUE QUEBRADILLAS, QUEBRADILLAS, PR 00678
- **Practice address phone:** (787) 291-0909
- **Mailing address:** PO BOX 903, QUEBRADILLAS, PR 00678
- **Mailing address phone:** (787) 291-0909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/26/2017
- **Last updated:** 12/05/2018