Organization
WATCHTOWER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHEILALY VEGA (TESORERA)
(787) 764-2200
Entity
Organization
Contact information
Practice address
696 CALLE CUBITAS, GUAYNABO, PR 00969-2809
(787) 764-2200
(787) 764-6331
Mailing address
PO BOX 11825, SAN JUAN, PR 00922-1825
(787) 764-2200
(787) 764-6331
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
PR
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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