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Organization

RECINTO DE CIENCIAS MEDICAS

Active
Other names
PPMI CLINICA DE LA ESCUELA DE MEDICINA
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MYRIAM TROCHE RHIA (CREDENTIALING COORDINATOR)
(787) 754-9165
Entity
Organization

Contact information

Practice address
AVE. AMERICO MIRANDA, REPARTO METROPOLITANO SHOPPING CENTER, RIO PIEDRAS, PR 00921
(787) 758-7910
(787) 281-6097
Mailing address
PO BOX 29134, SAN JUAN, PR 00929-0134
(787) 754-9165
(787) 274-8156

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
PR
261Q00000X
Clinic/Center
261QH0100X
Health Service Clinic/Center
PR
261QM1300X
Multi-Specialty Clinic/Center
Primary
PR
261QM2500X
Medical Specialty Clinic/Center
PR

Other

Enumeration date
05/29/2008
Last updated
08/03/2015
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