Organization
CENTRO DE SERVICIOS DE SALUD VILLA NEVAREZ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALESKA NUNEZ SANTIAGO MD (PRESIDENT)
(787) 810-3434
Entity
Organization
Contact information
Practice address
1111 CALLE 1, SAN JUAN, PR 00927-5134
(787) 810-3434
(888) 351-4227
Mailing address
1111 CALLE 1, SAN JUAN, PR 00927-5134
(787) 810-3434
(888) 351-4227
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16203
STATE LICENSE
PR
Enumeration date
04/27/2022
Last updated
04/27/2022
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