Organization
CENTRO DE DIAGNOSTICO PULMONAR
Active
Other names
laboratorio pulmonar
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISPULO M RIVERA MD (PRESIDENT)
(787) 798-9701
Entity
Organization
Contact information
Practice address
68 CALLE SANTA CRUZ STE 602, 68 STA CRUZ ST, BAYAMON, PR 00961-7035
(787) 798-9701
(787) 785-9580
Mailing address
PO BOX 40, BAYAMON, PR 00960-0040
(787) 798-9701
(787) 785-9580
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3000
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28374
TRIPLE S
PR
01
—
900172
CRUZ AZUL
PR
Enumeration date
09/07/2006
Last updated
08/22/2020
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