Organization
CENTRO DE DIAGNOSTICO Y TRATAMIENTO GUANICA
Active
Other names
CDT Guanica
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
(787) 771-2100
Entity
Organization
Contact information
Practice address
CARRETERA 116 KM. 27.7, GUANICA, PR 00653
(787) 821-0402
(787) 821-0402
Mailing address
P O BOX 785, GUANICA, PR 00653
(787) 821-1481
(787) 771-2295
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00382
E R
PR
01
—
030756
E R
PR
01
—
09982
E R
PR
01
—
1000586
E R
PR
01
—
19070
E R
PR
01
—
40149
E R
PR
01
—
600274
E R
PR
01
—
6604363425G
E R
PR
01
—
6700164
E R
PR
01
—
S330
E R
PA
01
—
SH00408
E R
PR
Enumeration date
06/07/2007
Last updated
08/22/2020
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