Organization
ARNG
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LIZZETTE MONTALVO (MAJOR STAFF NURSE)
(787) 462-4108
Entity
Organization
Contact information
Practice address
HC01 BUZON 4424, LAS MARIAS, PR 00670
(787) 827-4846
Mailing address
HC01 BUZON 4424, LAS MARIAS, PR 00670
(787) 827-4846
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
10622
PR
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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