Organization
ATLANTIS HEALTH CARE GROUP PUERTO RICO INC
Active
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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