Organization
CENTRO DE DIALISIS SAN MIGUEL ARCANGEL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS RIVERA (PRESIDENT)
(787) 604-7744
Entity
Organization
Contact information
Practice address
ROAD 164, KM 7.1, NARANJITO, PR 00719
(787) 227-4604
(787) 782-7447
Mailing address
405 ESMERALDA AVENUE, SUITE 174, GUAYNABO, PR 00969
(787) 604-7744
(787) 782-7447
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2011
Last updated
09/29/2011
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