Organization
IPA 22 GRP MEDICO DE ARECIBO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARA MOLINA ADAME (MD)
(787) 880-1020
Entity
Organization
Contact information
Practice address
51 CALLE GAUTIER BENITEZ, ARECIBO, PR 00612-4418
(787) 880-1020
(787) 880-1011
Mailing address
PO BOX 846, ARECIBO, PR 00613-0846
(787) 880-1020
(787) 880-1011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10369
TRIPLE S
PR
Enumeration date
09/06/2006
Last updated
08/22/2020
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