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Organization

POLICLINICA LA FAMILIA DE TOA ALTA INC

Active
Parent organization
INCORPORATION
Other names
Centro de Vacunacion
Organization subpart
Yes

Provider details

NPI number
Legal business name
INCORPORATION
Authorized official
DR. ITZA D. CHEVRES M.D. (PRESIDENT)
(787) 870-7070
Entity
Organization

Contact information

Practice address
CALLE 10 G21 VILLA MATILDE, TOA ALTA, PR 00953
(787) 870-7070
(787) 870-6382
Mailing address
PO BOX 867, TOA ALTA, PR 00954
(787) 870-7070
(787) 870-6382

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9462
PR

Other

Enumeration date
03/08/2011
Last updated
03/08/2011
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