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Organization

CENTRO DE MEDICINA INTEGRAL DE MANATI,INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MILDALIAS DOMINGUEZ PASCUAL MD (PRESIDENT)
(787) 884-4700
Entity
Organization

Contact information

Practice address
77 BO COTTO, URBANIZACION FELIX CORDOVA DAVILA, MANATI, PR 00674-0000
(787) 884-4700
(787) 884-9719
Mailing address
PO BOX 4317, VEGA BAJA, PR 00694-4317
(787) 884-4700
(787) 884-9719

Taxonomy

Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary

Other

Enumeration date
12/23/2015
Last updated
12/23/2015
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