Organization
HEALTH MED CARE,CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MIDALIE J CABAN MD (PRESIDENT)
(787) 458-2300
Entity
Organization
Contact information
Practice address
CARR 668, FELIX CORDOBA DAVILA 158, MANATI, PR 00674
(787) 458-2300
Mailing address
16 CALLE L, PARC. RODRIGUEZ OLMO, ARECIBO, PR 00612-4201
(787) 458-2300
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
14451
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BC8006149
FEDERAL
PR
Enumeration date
03/09/2010
Last updated
03/09/2010
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