Organization
MEDINA S PRVENTIVE AND PRIMARY CARE, LLC
Active
Organization
MEDINA S PRVENTIVE AND PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUBIEZEL MEDINA BONILLA (CEO)
(787) 237-1235
Entity
Organization
Contact information
Practice address
CARR #2 KM 85.7 INT, BO CARRIZALES, HATILLO, PR 00659
(787) 237-1235
Mailing address
HC 1 BOX 6664, HORMIGUEROS, PR 00660-9714
(787) 237-1235
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2024
Last updated
09/23/2024
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