Organization
TABULA RASA CORP
Active
Other names
TABULA RASA CORP
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA ALVARES-SANTIAGO (PRESIDENTE)
(787) 605-4124
Entity
Organization
Contact information
Practice address
C/REVERENDO DOMINGO NAVARRO, BAYAMON, PR 00961
(787) 605-5833
Mailing address
W-23 BAYAMON GARDENS, C/18, BAYAMON, PR 00957-0000
(787) 605-4124
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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