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Organization
GUAYNABO HEALTH PROVIDERS, CORP.
Active
Organization
GUAYNABO HEALTH PROVIDERS, CORP.
Active
Other names
CDT AMELIA
Organization subpart
No
Provider details
NPI number
Authorized official
LILIANA MEDINA OTERO (PRESIDENT)
(787) 720-5050
Entity
Organization
Contact information
Practice address
45 CALLE DIEGO VEGA, BARRIO AMELIA, GUAYNABO, PR 00965
(787) 705-5858
Mailing address
140 AVE LAS CUMBRES, SUITE 210, GUAYNABO, PR 00969
(787) 720-5050
(787) 720-4949
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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