Organization
PROSALUD MEDICAL CENTER PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUBER A. TAVAREZ GONZALEZ M.D. (PRESIDENT)
(787) 648-9085
Entity
Organization
Contact information
Practice address
ROAD 474 KM 2.2, ISABELA, PR 00662-0000
(787) 648-9085
Mailing address
PO BOX 1927, ISABELA, PR 00662-1927
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
TXR
PR
208D00000X
General Practice Physician
17985
PR
261QR0200X
Radiology Clinic/Center
Primary
TXR
PR
Other
Enumeration date
03/01/2012
Last updated
06/05/2015
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