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Organization

CLINICAS DE SALUD-EPS

Active
Parent organization
MEDICAL SCIENCES CAMPUS, UNIVERSITY OF PUERTO RICO
Other names
Plan de Practica Intramural de la Escuela de Profesiones d
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEDICAL SCIENCES CAMPUS, UNIVERSITY OF PUERTO RICO
Authorized official
DR. LYVIA ALAIDA ALVAREZ MD (EXECUTIVE DIRECTOR)
(787) 758-2525
Entity
Organization

Contact information

Practice address
1136 AVE AMERICO MIRANDA, REPARTO METROPOLITANO, SAN JUAN, PR 00921-2213
(787) 300-3837
(787) 765-0854
Mailing address
PO BOX 365067, SAN JUAN, PR 00936-5067
(787) 758-2525
(787) 758-9831

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1592
PR
133N00000X
Nutritionist
1096
PR
133N00000X
Nutritionist
326
PR
133N00000X
Nutritionist
579
PR
133N00000X
Nutritionist
890
PR
231H00000X
Audiologist
023
PR
231H00000X
Audiologist
381
PR
231H00000X
Audiologist
506
PR
231H00000X
Audiologist
529
PR
231H00000X
Audiologist
592
PR
235Z00000X
Speech-Language Pathologist
014
PR
235Z00000X
Speech-Language Pathologist
471
PR
235Z00000X
Speech-Language Pathologist
472
PR
235Z00000X
Speech-Language Pathologist
654
PR
235Z00000X
Speech-Language Pathologist
739
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000000
NONE
PR
Enumeration date
10/28/2008
Last updated
02/26/2014
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