Organization
CRIOLITE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA GARCIA (OWNER)
(787) 426-5649
Entity
Organization
Contact information
Practice address
1408 COND PUERTA DEL PARQUE, CAGUAS, PR 00727-3142
(787) 426-5649
Mailing address
1408 COND PUERTA DEL PARQUE, CAGUAS, PR 00727-3142
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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