Organization
NEFROLOGIA CSP
Active
Other names
NEFROLOGIA CSP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL A CRUZ SOTO M.D. (PRESIDENT)
(787) 854-4120
Entity
Organization
Contact information
Practice address
AVE HERNANDEZ CARRION, MANATI PROFESSIONAL PLAZA SUITE 411, MANATI, PR 00674-1662
(787) 854-4120
(787) 621-0907
Mailing address
PO BOX 1662, MANATI, PR 00674-1662
(787) 854-4120
(787) 621-0907
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
5004
PR
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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