Organization
GRUPO MEDICO SAN CARLOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAISY VILLA (ADMINISTRATOR)
(787) 268-4433
Entity
Organization
Contact information
Practice address
1866 AVE PONCE DE LEON, SAN JUAN, PR 00909-2010
(787) 268-4433
(787) 726-1828
Mailing address
BOX 19209, FDEZ JUNCOS STATION, SAN JUAN, PR 00910-1209
(787) 268-4433
(787) 726-1828
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
09-B-3148
PR
Other
Enumeration date
07/23/2008
Last updated
09/16/2008
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