Organization
UNIV CENTRAL DEL CARIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILDA CANELARIO-FERNANDEZ MD (PRESIDENTE)
(787) 798-3001
Entity
Organization
Contact information
Practice address
AVENIDA LAUREL, ESQUINA SANTA JUANITA #100, BAYAMON, PR 00960
(787) 798-3001
Mailing address
PO BOX 60307, BAYAMON, PR 00960-6032
(787) 798-3001
(787) 778-0460
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060890
CRUZ AZUL
—
01
—
0774
INTERNATIONAL MEDICALCARD
—
01
—
6919061
CIGNA
—
01
—
84771
SSS
—
01
—
9560095
HUMANA
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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