Organization
INSTITUTO MEDICO DE CIALES, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA DE LOS ANGELES COLLAZO M.D (PRESIDENT)
(787) 871-1146
Entity
Organization
Contact information
Practice address
25 CALLE JOSE DE DIEGO, CIALES, PR 00638-3229
(787) 871-1146
(787) 871-1207
Mailing address
25 CALLE JOSE DE DIEGO, CIALES, PR 00638-3229
(787) 871-1146
(787) 871-1207
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
9227
PR
261QI0500X
Infusion Therapy Clinic/Center
9227
PR
261QP2000X
Physical Therapy Clinic/Center
9227
PR
261QP3300X
Pain Clinic/Center
9227
PR
261QR1100X
Research Clinic/Center
9227
PR
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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