Organization
IPA POLICLINICA VILLA LOS SANTOS
Active
Other names
IPA 029 POLICLINICA VILLA LOS SANTOS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA GONZALEZ AGRASO M.D. (ADMINISTRADORA)
(787) 817-3144
Entity
Organization
Contact information
Practice address
V1 CALLE 16, URB. VILLA LOS SANTOS, ARECIBO, PR 00612-3112
(787) 879-1585
(787) 879-4315
Mailing address
PO BOX 9091, COTTO STATION, ARECIBO, PR 00613-9091
(787) 879-1585
(787) 879-4315
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
06/23/2008
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