Organization
BELLA VISTA POLICLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ENRIQUE RIVERA (ADMINISTRATIVE ASISTANT)
(787) 834-6161
Entity
Organization
Contact information
Practice address
AVE HOSTOS, NUMBER 770, MAYAGUEZ, PR 00682-6353
(787) 834-6161
(787) 805-4635
Mailing address
PO BOX 850, MAYAGUEZ, PR 00681-0850
(787) 834-6161
(787) 805-4635
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
10 CNC 99-331
PR
Other
Enumeration date
06/24/2006
Last updated
08/22/2020
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