Organization
SALUD INTEGRAL EN LA MONTANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAIMA GONZALEZ RD,LND (NUTRITIONIST)
(787) 397-7765
Entity
Organization
Contact information
Practice address
4 CARR 165, BO. QUEDRADA CRUZ, TOA ALTA, PR 00953-2338
(787) 545-8808
Mailing address
4 CARR 165, BO. QUEDRADA CRUZ, TOA ALTA, PR 00953-2338
(787) 545-8808
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1904
PR
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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