Organization
POLICLINICA SAN PEDRO PSC
Active
Organization
POLICLINICA SAN PEDRO PSC
Active
Other names
CDT Policlinica San Pedro
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA C RIVERA IRIZARRY (ADMINISTRATOR)
(787) 839-3980
Entity
Organization
Contact information
Practice address
211 CALLE MORSE, ARROYO, PR 00714-2350
(787) 839-3980
(787) 271-2515
Mailing address
PO BOX 818, ARROYO, PR 00714-0818
(787) 839-3980
(787) 271-2515
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1059
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004001478
ACAA
PR
01
—
1400123966
GLOBAL
PR
01
—
31320
TRIPLE-S
PR
01
—
3739-3-5068
PROSAM
PR
01
—
660348333
AMERICAN HEALTH
PR
01
—
6603483331
MCS
PR
01
—
7140014
HUMANA
PR
01
—
9964
IMC
PR
01
—
M215
MENONITA
PR
Enumeration date
07/28/2006
Last updated
09/19/2017
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