Organization
POLICLINICA ILEANMARIE PSC
Active
Other names
POLICLINICA ILEANMARIE PSC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILEANA ALBINO CRUZ M.D. (PRESIDENT)
(787) 890-1674
Entity
Organization
Contact information
Practice address
1803 CALLE KENNEDY, SAN ANTONIO, PR 00690
(787) 890-1674
Mailing address
1803 CALLE KENNEDY, SAN ANTONIO, PR 00690-1210
(787) 890-1674
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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