Organization
MEDNUR CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA SANCHEZ MRS (FACTURACION)
(787) 882-2940
Entity
Organization
Contact information
Practice address
CALLE COLON # 106, AGUADA, PR 00602-3166
(787) 252-8330
(787) 252-8337
Mailing address
PO BOX 4789, AGUADILLA, PR 00605-4789
(787) 882-2940
(787) 891-4146
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
LIC NUM 1 CNC 00-193
PR
Other
Enumeration date
09/20/2005
Last updated
07/03/2008
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