Organization
CASA JOVEN DEL CARIBE, INC.
Active
Other names
CLINICA RENACER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SAMUEL AGOSTO LOPEZ (DIRECTOR SERVICIOS CLINICOS)
(787) 644-0194
Entity
Organization
Contact information
Practice address
537 CALLE EXT S, DORADO, PR 00646-5016
(787) 796-2832
(787) 796-2832
Mailing address
PO BOX 694, DORADO, PR 00646-0694
(787) 796-2832
(787) 796-2832
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
16726
PR
Other
Enumeration date
04/13/2012
Last updated
04/13/2012
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