Organization
CLINICA DE TERAPIAS SANTA ISABEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C RODRIGUEZ (PRESIDENTE)
(787) 929-6376
Entity
Organization
Contact information
Practice address
CALLE BALDORIOTY #21C, SANTA ISABEL, PR 00757
(787) 929-6376
Mailing address
PO BOX 1982, COAMO, PR 00769-1982
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4838545
PLAN DE SALUD MENONITA
PR
Enumeration date
10/05/2020
Last updated
10/05/2020
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