Organization
CENTRO DE SERVICIOS PRIMARIOS DE SALUD,INC.
Active
Parent organization
CENTRO DE SERVICIOS PRIMARIOS DE SALUD,INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO DE SERVICIOS PRIMARIOS DE SALUD,INC.
Authorized official
MRS. ROSA AGOSTINI (EXECUTIVE DIRECTOR)
(787) 822-2170
Entity
Organization
Contact information
Practice address
3 CALLE ANTONIO ALCAZAR, FLORIDA, PR 00650-1912
(787) 822-2170
Mailing address
3 CALLE ANTONIO ALCAZAR, FLORIDA, PR 00650-1912
(787) 822-2170
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
114
PR
291U00000X
Clinical Medical Laboratory
735
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4020107
NABP
PR
01
—
40D0680461
CLIA LAB.
PR
Enumeration date
07/28/2008
Last updated
11/20/2012
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