Organization
NSHAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME A SALAS MD (MEDICAL DIRECTOR)
(786) 467-0606
Entity
Organization
Contact information
Practice address
559 CALLE ALVERIO, EXT ROOSEVELT, SAN JUAN, PR 00918-3725
(786) 467-0606
(787) 963-1433
Mailing address
559 CALLE ALVERIO, EXT ROOSEVELT, SAN JUAN, PR 00918-3725
(786) 467-0606
(787) 963-1344
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
16462
PR
Other
Enumeration date
07/17/2013
Last updated
02/02/2017
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