Organization
VILLA LOS SANTOS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA J GONZALEZ AGRASO (ADMINISTRADORA)
(787) 879-1585
Entity
Organization
Contact information
Practice address
VILLA LOS SANTOS CALLE 16 V 1, ARECIBO, PR 00612
(787) 879-1585
Mailing address
PO BOX 9091, ARECIBO, PR 00613-9091
(787) 879-1585
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2023
Last updated
07/30/2024
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