Organization
SALUD INTEGRAL EN LA MONTANA, INC.
Active
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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