Organization
CENTRO INDIVIDUAL DE MEDICINA ESPECIALIZADA LLC
Active
Other names
CIME
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AILED RIVERA SOTO (ADMINISTRATOR)
(787) 354-2514
Entity
Organization
Contact information
Practice address
140 AVE LAS CUMBRES, GUAYNABO, PR 00969-5523
(787) 731-5785
Mailing address
PO BOX 1475, CAROLINA, PR 00984-1475
(787) 354-2514
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10166
—
PR
Enumeration date
06/25/2025
Last updated
06/25/2025
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