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Organization

CENTRO CLINICO DEL YUNQUE, CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE ROLANDO PENA M.D. (PRESIDENT)
(787) 887-7837
Entity
Organization

Contact information

Practice address
3001, SUITE 247 VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 887-7837
(787) 887-7837
Mailing address
BOX 3001, SUITE 247 VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745
(787) 887-7837
(787) 887-7837

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
011221
PR

Other

Enumeration date
04/11/2011
Last updated
04/11/2011
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