Organization
GRP MED POLICLINICA FAMILIAR FACTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE L NIEVES MD (PRESIDENT)
(787) 881-2953
Entity
Organization
Contact information
Practice address
CARR #2 KM 65.6, BO FACTOR 1, ARECIBO, PR 00612
(787) 881-2953
(787) 881-4807
Mailing address
PO BOX 970, ARECIBO, PR 00613
(787) 881-2953
(787) 881-4807
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84974
GRUPO MEDICO
PR
Enumeration date
05/09/2007
Last updated
08/22/2020
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