Organization
CENTRO DE DIAGNOSTICO Y TRATAMIENTO PATILLAS
Active
Other names
CDT de Patillas
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
(787) 771-2100
Entity
Organization
Contact information
Practice address
CDT PATILLAS, CALLE RIEFKOL CARR. 3 KM. 27.1, PATILLAS, PR 00731
(787) 839-4360
(787) 271-0004
Mailing address
CDT PATILLAS, P O BOX 697, PATILLAS, PR 00723
(787) 839-4360
(787) 271-0004
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
55
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00381
E R
PR
01
—
1001752
E R
PR
01
—
101016
E R
PR
01
—
19191
E R
PR
01
—
40154
E R
PR
01
—
42032
E R
PR
01
—
600350
E R
PR
01
—
6604363425P
E R
PR
01
—
7230104
E R
PR
01
—
S806
E R
PR
01
—
SH33481
E R
PR
Enumeration date
04/20/2007
Last updated
08/22/2020
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