Organization
CENTRO PEDIATRICO BUENA VISTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GISSELLE CASTRO (ADMINISTRATOR)
(787) 799-9977
Entity
Organization
Contact information
Practice address
CARR 167 # KM14.8, BO. BUENA VISTA, BAYAMON, PR 00956-9212
(787) 799-9977
(787) 799-9977
Mailing address
KK-7 CALLE 10, URB CANA, BAYAMON, PR 00957-6232
(787) 799-9977
(787) 799-9977
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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