Organization
POLICLINICA BALDORIOTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL MARCHENA (ADMINISTRATOR)
(787) 568-8263
Entity
Organization
Contact information
Practice address
482 CALLE FERNANDO CALDER, URB ROOSVELT, SAN JUAN, PR 00918-2744
(787) 568-8263
Mailing address
COND CASTILLO DEL MAR, SUITE 1358, CAROLINA, PR 00979-5300
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
86269
PR
Other
Enumeration date
02/08/2007
Last updated
08/22/2020
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