Organization
CENTRO ESPECIALISTA DE MEDICINA DEL ESTE C S P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGUSTIN JUAN LOPEZ- COVAS M.D. (DIRECTOR)
(787) 852-0886
Entity
Organization
Contact information
Practice address
AVE. FONT MARTELO # 334, HUMACAO, PR 00792
(787) 852-0886
(787) 852-0280
Mailing address
PO BOX 428, HUMACAO, PR 00792-0428
(787) 852-0886
(787) 852-0280
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
10627
PR
Other
Enumeration date
03/28/2007
Last updated
04/13/2011
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