Organization
CDT POLICLINICA FAMILIAR FLORIDA CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VILMA M PADILLA (ADMINISTRATOR)
(787) 822-3446
Entity
Organization
Contact information
Practice address
72 CALLE ARIZMENDI, FLORIDA, PR 00650-2006
(787) 822-3446
Mailing address
PO BOX 1336, HATILLO, PR 00659-1336
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17105
TRIPLE-S
PR
Enumeration date
01/25/2007
Last updated
08/22/2020
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