Organization
CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.
Active
Organization
CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDRED MOREL BBA (EXECUTIVE DIRECTOR)
(787) 839-4320
Entity
Organization
Contact information
Practice address
99 GUILLERMO RIEFKOHL ST., PATILLAS, PR 00723-0000
(787) 839-4320
(787) 271-0004
Mailing address
99 GUILLERMO RIEFKHOL STREET, PO BOX 697, PATILLAS, PR 00723-0697
(787) 839-4320
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0080082
PTAN
—
Enumeration date
06/21/2005
Last updated
03/06/2025
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