Organization
CENTRO DE SERVICIOS MEDICOS DE PENA POBRE
Active
Other names
Centro de Servicios Medicos de Municipio de naguabo
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS POMALES (ADMINISTRATOR)
(787) 874-3037
Entity
Organization
Contact information
Practice address
STREET 31, 192, NAGUABO, PR 00718
(787) 874-3037
(787) 874-3037
Mailing address
STREET 31, 192, NAGUABO, PR 00718
(787) 874-3037
(787) 874-3037
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
30673
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00409
AMERICAN HEALTH
PR
01
—
201648
PREFERRED HEALTH
PR
01
—
2991-1
PROSAM
PR
01
—
6701184
HUMANA
PR
01
—
89681
TRIPLE S
PR
01
—
9001119
CRUZ AZUL DE PUERTO RICO
PR
Enumeration date
06/16/2006
Last updated
08/17/2018
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