Organization
ATLANTIS HEALTH CARE GROUP PUERTO RICO, INC.
Active
Other names
Renal Centre of San Sebastian
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBETTE HARFORD (PRESIDENT, CEO)
(787) 292-7979
Entity
Organization
Contact information
Practice address
BO. BAHOMAMEY, AVE. EMERITO ESTADA KM 21.8 PR-125, SAN SEBASTIAN, PR 00685-2285
(787) 292-7979
(787) 292-7999
Mailing address
PO BOX 1350, ST. JUST STATION, TRUJILLO ALTO, PR 00977-1350
(787) 292-7979
(787) 292-7999
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
#37
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038203000
—
PR
Enumeration date
11/26/2013
Last updated
05/03/2023
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