Organization
CENTRO DE DIAGNOSTICO Y TRATAMIENTO GUAYANILLA
Active
Other names
CDT de Guayanilla
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
(787) 771-2100
Entity
Organization
Contact information
Practice address
CDT GUAYANILLA, CALLE JOSE DE DIEGO #13, GUAYANILLA, PR 00656
(787) 835-4254
(787) 771-2295
Mailing address
PO BOX 560550, GUAYANILLA, PR 00656
(787) 835-4254
(787) 771-2295
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
07-B-3068
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00378
ER
PR
01
—
030707
ER
PR
01
—
09992
ER
PR
01
—
1000314
ER
PR
01
—
19104
ER
PR
01
—
40150
ER
PR
01
—
600328
ER
PR
01
—
6700165
ER
PR
01
—
S331
ER
PR
01
—
SH00409
ER
PR
Enumeration date
04/17/2007
Last updated
08/22/2020
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