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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