Organization
CENTRO DE MEDICINA PRIMARIA DRA. KARLA M. BORRERO CUELLO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARLA M BORRERO CUELLO M.D. (PRESIDENT)
(787) 812-9595
Entity
Organization
Contact information
Practice address
104 CALLE VICTORIA STE 105, PONCE, PR 00730-3780
(787) 812-9595
Mailing address
PO BOX 8753, PONCE, PR 00732-8753
(787) 812-9595
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16536
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760594220
—
PR
Enumeration date
01/11/2018
Last updated
01/11/2018
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