Organization
SALA DE EMERGENCIA SHALOM, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIBAL PAGAN ROMERO M.D. (MEDICAL DIRECTOR)
(787) 895-0914
Entity
Organization
Contact information
Practice address
CARR 2 KM 101 6, TERRANOVA MARGINAL DEL PARQUE, QUEBRADILLAS, PR 00678
(787) 895-0914
(787) 895-4999
Mailing address
PO BOX 903, QUEBRADILLAS, PR 00678-0903
(787) 895-0914
(787) 895-4999
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
13
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13
EMERGENCY CARE
PR
Enumeration date
02/10/2010
Last updated
02/10/2010
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