Organization
PROFESSIONAL HEALTH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IVAN MILLON (EJECUTIVE DIRECTOR)
(787) 780-8454
Entity
Organization
Contact information
Practice address
400 CALAF STREET, SUITE 361, SAN JUAN, PR 00918-1314
(787) 780-8454
(787) 779-2329
Mailing address
400 CALAF STREET, SUITE 361, SAN JUAN, PR 00918-1314
(787) 780-8454
(787) 779-2329
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PR
Other
Enumeration date
02/20/2008
Last updated
04/20/2008
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