Organization
BELLA VISTA POLICLINIC, INC
Active
Parent organization
BELLA VISTA POLICLINIC, INC
Other names
Bella Vista ENT Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
BELLA VISTA POLICLINIC, INC
Authorized official
MR. ENRIQUE RIVERA MBA (CFO)
(787) 652-6031
Entity
Organization
Contact information
Practice address
AVE HOSTOS, NUMBER 770, MAYAGUEZ, PR 00681
(787) 652-6031
(787) 805-3705
Mailing address
AVE HOSTOS, NUMBER 770, MAYAGUEZ, PR 00681
(787) 652-6031
(787) 805-3705
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
200394
PR
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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