Organization
IPA POLICLINICA VILLA LOS SANTOS
Active
Other names
CENTRO VACUNACION IPA29
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN MELENDEZ ACEVEDO REGISTER NURSE (SUPERVISOR)
(787) 879-1585
Entity
Organization
Contact information
Practice address
URB. VILLA LOS SANTOS, CALLE 16 V-1, ARECIBO, PR 00612
(787) 879-1585
(787) 879-4315
Mailing address
URB. VILLA LOS SANTOS, CALLE 16 V-1, ARECIBO, PR 00612
(787) 879-1585
(787) 879-4315
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
66051521737
TAX ID
PR
Enumeration date
05/07/2007
Last updated
06/23/2008
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