Organization
CDT CENTRO DE MEDICINA PRIMARIA DE VEGA ALTA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILDALIAS DOMINGUEZ MD (PRESIDENT)
(787) 883-0124
Entity
Organization
Contact information
Practice address
3 CALLE LUIS MUNOZ RIVERA, VEGA ALTA, PR 00692
(787) 883-0124
(787) 883-0222
Mailing address
3 CALLE LUIS MUNOZ RIVERA, VEGA ALTA, PR 00692
(787) 883-0124
(787) 883-0222
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
53353
PR
Other
Enumeration date
07/21/2015
Last updated
01/25/2016
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