Organization
CDT CENTRO DE SERVICIOS MEDICOS INTEGRADOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISY NIEVES (FACTURADORA)
(787) 778-2100
Entity
Organization
Contact information
Practice address
59 CALLE SANTA CRUZ, PISO 4, BAYAMON, PR 00961-6900
(787) 778-2100
(787) 778-2110
Mailing address
PO BOX 6598, BAYAMON, PR 00960-5598
(787) 778-2100
(787) 778-2110
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
92
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FB073
MEDICARE PTAN
PR
Enumeration date
05/27/2016
Last updated
05/27/2016
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