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Organization

IPA POLICLINICA VILLA LOS SANTOS

Active
Other names
HORARIO EXTENDIDO IPA 029
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARIA GONZALEZ AGRASO M.D (ADMINISTRATOR)
(787) 817-3144
Entity
Organization

Contact information

Practice address
URB. VILLA LOS SANTOS, CALLE 16 V-1, ARECIBO, PR 00612
(787) 879-1585
(787) 879-4315
Mailing address
PO BOX 9091, COTTO STATION, ARECIBO, PR 00613-9091
(787) 879-1585
(787) 879-4315

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
208000000X
Pediatrics Physician
208D00000X
General Practice Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17064
PROVIDER #
PR
Enumeration date
05/25/2007
Last updated
06/23/2008
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