Organization
CIDRA EMERGENCY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUBEN MENDEZ BENABE M.D. (PRESIDENT)
(787) 396-0816
Entity
Organization
Contact information
Practice address
114 AVE LUIS MUNOZ RIVERA S, CAYEY, PR 00736-4703
(787) 396-0816
Mailing address
114 AVE LUIS MUNOZ RIVERA S, CAYEY, PR 00736-4703
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7390033
HUMANA PROVIDER NUMBER
PR
Enumeration date
05/06/2007
Last updated
08/22/2020
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