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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