Organization
CENTROS DE PREVENCION TRATAMIENTO DE ENFERMEDADES TRANSMISIBLES
Active
Other names
CLINICA INMUNOLOGICA DE HUMACAO
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRETOR EJECUTIVA)
(787) 771-2100
Entity
Organization
Contact information
Practice address
100 CALLE FONT MARTELO W, CLINICA INMUNOLOGICA DE HUMACAO LOCAL 13Y14, HUMACAO, PR 00791-3923
(787) 704-7066
(787) 746-2896
Mailing address
CLINICA INMUNOLOGICA DE HUMACAO, BOX 8548, CAGUAS, PR 00726-8548
(787) 704-7066
(787) 746-2896
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101239
MEDICO Y LAB
PR
01
—
30346
LAB
PR
01
—
660433481-16
MEDICO
PR
01
—
660433481-17
LAB
PR
01
—
7250066
MEDICO Y LAB
PR
Enumeration date
04/12/2007
Last updated
08/22/2020
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