Organization
BELLA VISTA POLICLINIC INC
Active
Parent organization
BELLA VISTA POLICLINIC
Other names
Policlinic Radiology Department
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLA VISTA POLICLINIC
Authorized official
MR. ENRIQUE RIVERA MBA (CFO)
(787) 834-6000
Entity
Organization
Contact information
Practice address
AVE HOSTOS, NUMBER 770, MAYAGUEZ, PR 00682-6353
(787) 834-6161
(787) 834-4635
Mailing address
AVE HOSTOS, NUMBER 770, MAYAGUEZ, PR 00682-6353
(787) 834-6161
(787) 834-4635
Taxonomy
Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary
200394
PR
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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