Organization
JUVENIA MEDICAL CENTER CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL LUIS CASTANEDA-RUEDA M.D. (PRESIDENT)
(787) 204-7194
Entity
Organization
Contact information
Practice address
LA FUENTE TOWN CENTER, 706 CALLE MARGINAL, SUITE 11120, GUAYAM, PR 00784
(787) 204-7194
Mailing address
LA FUENTE TOWN CENTER, 706 CALLE MARGINAL, SUITE 11120, GUAYAM, PR 00784
(787) 204-7194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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