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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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