Organization
VILLA LOS SANTOS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. 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
(787) 879-4315
Mailing address
PO BOX 9091, ARECIBO, PR 00613-9091
(787) 879-1585
(787) 879-4315
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
11/25/2022
Last updated
07/30/2024
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