Organization
CLINICA MEDICINA PREVENTIVA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE G CUMBA GUERRERO M.D. (DIRECTOR)
(787) 390-0578
Entity
Organization
Contact information
Practice address
URB PALACIOS DEL RIO II, 763 CALLE CIBUCO, TOA ALTA, PR 00953-5116
(787) 390-0578
Mailing address
AVENIDA WEST MAIN CALLE 49 BLOQUE 51 #31, URB SIERRA BAYAMON, BAYAMON, PR 00961-4790
(787) 390-0578
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14079
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14079
LIC
PR
Enumeration date
06/22/2012
Last updated
06/22/2012
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