Organization
CDT DR. JOSE S. BELAVAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUIS ACEVEDO LIC (ADMINISTRATOR)
(787) 480-5042
Entity
Organization
Contact information
Practice address
2018 AVE. BORINQUEN ESQUINA CALLE NIN BO OBRERO, SAN JUAN, PR 00915
(787) 480-5042
Mailing address
PO BOX 21405, SAN JUAN, PR 00928-1405
(787) 480-3876
(787) 977-8401
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
=========
GOLDEN CROSS
PR
05
—
=========
—
PR
Enumeration date
05/10/2007
Last updated
05/24/2023
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