Organization
IPA POLICLINICA VILLA LOS SANTOS
Active
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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