Organization
CLINICA TODO SALUD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIRELLA M BAEZ MSW (AVP)
(787) 463-3465
Entity
Organization
Contact information
Practice address
53 CLL FELIX RIOS #71, AIBONITO, PR 00705
(787) 622-3000
Mailing address
PO BOX 71114, SAN JUAN, PR 00936-8014
(787) 622-3000
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC0050X
Critical Access Hospital Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
302F00000X
Exclusive Provider Organization
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Enumeration date
06/30/2020
Last updated
06/30/2020
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