Organization
CDT TOA ALTA PUEBLO
Active
Parent organization
LAB CDT TOA ALTA
Other names
SM MEDICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAB CDT TOA ALTA
Authorized official
DR. VICTOR M SIMONS FLORES M.D (PRESIDENT)
(787) 230-7190
Entity
Organization
Contact information
Practice address
16 CALLE ANTONIO R BARCELO, TOA ALTA, PR 00953
(787) 230-7190
Mailing address
PO BOX 1649, CANOVANAS, PR 00729
(787) 230-7190
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
61
PR
Other
Enumeration date
09/17/2009
Last updated
04/10/2014
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