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Organization

COLONIAL MEDICAL MANAGEMENT, CORP

Active
Parent organization
COLONIAL MEDICAL MANAGEMENT, CORP
Other names
COMEDCO IMAGING CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
COLONIAL MEDICAL MANAGEMENT, CORP
Authorized official
MR. DAVID ALICEA (MANAGER)
(787) 943-7889
Entity
Organization

Contact information

Practice address
CARR 402 KM 1.8 BO MARIAS, ANASCO, PR 00610
(787) 826-8082
(787) 229-1091
Mailing address
PO BOX 1438, RINCON, PR 00677-1438
(787) 826-8082
(787) 229-1091

Taxonomy

Speciality
Code
Description
License number
State
261QR0206X
Mammography Clinic/Center
Primary

Other

Enumeration date
09/10/2012
Last updated
09/10/2012
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