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Organization

CENTRO MEDICO PUERTO RICO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAVIER NORMANDIA (OR. NURSING/ SUPERVIRSOR)
(787) 777-3535
Entity
Organization

Contact information

Practice address
20ST. BLOQ.54-3 SANTA ROSA, BAYAMON, PR 00959
(787) 579-5484
Mailing address
PO BOX 9074, BAYAMON, PR 00960-9074
(787) 579-5484

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
018651
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZUA90352257209000
TRIPLE-S
PR
Enumeration date
11/01/2006
Last updated
08/07/2008
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