Organization
RENAL LOGISTIC
Active
Other names
iv infussion center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REINA JACKELINE DIAZ (PRESIDENT)
(787) 786-3000
Entity
Organization
Contact information
Practice address
B10 CALLE SANTA CRUZ, BAYAMON, PR 00961-6902
(787) 786-3000
(787) 798-6865
Mailing address
49 PASEO LAS VISTAS ALTAVILLA, ALTAVILLA, TRUJILLO ALTO, PR 00976
(787) 786-3000
(787) 798-6865
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2010
Last updated
04/22/2010
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