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Organization

ALIANZA DE SALUD PARA TODO PUERTO RICO, CORP

Active
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Organization

ALIANZA DE SALUD PARA TODO PUERTO RICO, CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MILDALIAS DOMINGUEZ M.D. (PRESIDENT)
(787) 883-0124
Entity
Organization

Contact information

Practice address
CALLE LUIS MUNOZ RIVERA 3, VEGA ALTA, PR 00692
(787) 883-0124
(787) 883-0222
Mailing address
P.O. BOX 4317, VEGA BAJA, PR 00694
(787) 883-7645
(787) 883-0222

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
05/13/2010
Last updated
05/19/2015
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