Organization
ASOCIACION DE PUERTORRIQUENOS EN MARCHA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NILDA RUIZ (PRESIDENT)
(267) 296-7200
Entity
Organization
Contact information
Practice address
2131-33 N. 6TH ST, PHILADELPHIA, PA 19122-1415
(215) 236-1500
Mailing address
4301 RISING SUN AVE, PHILADELPHIA, PA 19140-2719
(267) 296-7200
(215) 455-6501
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003114240012
—
PA
Enumeration date
08/18/2008
Last updated
10/14/2010
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