Organization
FAMILY HEALTH CLINIC OF CARIBBEAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ITZA D CHEVRES MD (PRESIDENT)
(939) 645-0504
Entity
Organization
Contact information
Practice address
G 21 CALLE 10, VILLA MATILDE, TOA ALTA, PR 00953
(787) 870-7070
(787) 870-7852
Mailing address
PO BOX 867, TOA ALTA, PUERTO RICO 00954
(787) 870-7852
(787) 870-7852
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9462
PR
261Q00000X
Clinic/Center
342726 CORP REGISTER
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
342726
REGISTER CORPORATE NUMBER
PR
Enumeration date
10/01/2014
Last updated
10/01/2014
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