Organization
INSTITUTO DE MEDICINA PREVENTIVA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY M ECHEVARRIA-RIVERA ADMINISTRATOR (MEMBER)
(787) 807-7178
Entity
Organization
Contact information
Practice address
113 CALLE MAGINAL MONTE CARLO, VEGA BAJA, PR 00693
(787) 807-7178
Mailing address
PO BOX 2710, VEGA BAJA, PR 00694-2710
(787) 807-7178
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/23/2018
Last updated
01/21/2019
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