Organization
MUNICIPIO DE SABANA GRANDE
Active
Organization
MUNICIPIO DE SABANA GRANDE
Active
Other names
Policlinica Bernice Guerra
Organization subpart
No
Provider details
NPI number
Authorized official
ULISES MENDEZ (COORDINADOR DE SERVICIOS DE SALUD)
(787) 873-1755
Entity
Organization
Contact information
Practice address
CARR. 102 KM 39.1, SABANA GRANDE, PR 00637-2416
(787) 873-1755
(787) 873-2145
Mailing address
301 AVE 5 DE DICIEMBRE, SABANA GRANDE, PR 00637-2416
(787) 873-1755
(787) 873-2145
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ299A
PTAN
—
Enumeration date
04/18/2007
Last updated
11/09/2009
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