Organization
CENTRO DE MEDICINA INTEGRAL DE MANATI,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILDALIAS DOMINGUEZ MD (PRESIDENT)
(787) 810-1322
Entity
Organization
Contact information
Practice address
BO. COTTO # 77, URB. FELIX CORDOVA DAVILA, MANATI, PR 00674
(787) 854-9000
(787) 854-9000
Mailing address
PO BOX 4317, VEGA BAJA, PR 00694-4317
(787) 854-9000
(787) 884-9719
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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