Organization
CLINICA ESPANOLA INC
Active
Other names
CLINICA ESPANOLA INC
Organization subpart
No
Provider details
NPI number
Authorized official
EMIGOLIO AGOSTINI (ADMIN PRES JUNTA DE GOBIERNO)
(787) 832-0404
Entity
Organization
Contact information
Practice address
BARRIO BALBOA SECTOR LA QUINTA CARR 106, MAYAGUEZ, PR 00680
(787) 832-0404
(787) 831-0034
Mailing address
PO BOX 490, MAYAGUEZ, PR 00681-0490
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
13F-1043
PR
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4025498
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
12/27/2006
Last updated
05/24/2012
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