Organization
ATLANTIS HEALTH CARE GROUP PUERTO RICO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBETTE HARFORD (PRESIDENT & CEO)
(787) 292-7979
Entity
Organization
Contact information
Practice address
CALLE ANICETO DIAZ INTERSECCION 876, EXPRESO TRUJILLO ALTO, TRUJILLO ALTO, PR 00978
(787) 292-7979
(787) 292-7999
Mailing address
PO BOX 1350, ST. JUST STATION, SAINT JUST, PR 00978-1350
(787) 292-7979
(787) 292-7999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
27 CNC 02-162
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC # 46 CNC 13-051
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC #12 CNC 04-126
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC #19 CNC 01-107
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC #23 CNC 05-260
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC #25 CNC 01-108
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC #28 CNC 03-278
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
LIC #3 CNC 01-109
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC #37 CNC 02-166
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC NUM 36
PR
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
LIC. #44 CNC12-087
PR
Other
Enumeration date
10/18/2006
Last updated
09/09/2016
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