Organization
US COAST GUARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR FELIX (CHIEF)
(787) 729-2304
Entity
Organization
Contact information
Practice address
5 CALLE LA PUNTILLA, SAN JUAN, PR 00901-1818
(787) 729-2305
Mailing address
5 CALLE LA PUNTILLA, SAN JUAN, PR 00901-1818
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32120
TRICARE
—
Enumeration date
06/29/2010
Last updated
06/29/2010
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