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Organization

CDT MARIO CANALES TORRESOLA

Active
Parent organization
CDT MARIO CANALES TORRESOLA
Other names
Municipio de Jayuya
Organization subpart
Yes

Provider details

NPI number
Legal business name
CDT MARIO CANALES TORRESOLA
Authorized official
MRS. WANDA ZAMORA AMBERT (ADMINISTRATOR)
(787) 828-0305
Entity
Organization

Contact information

Practice address
2 CALLE CEMENTERIO, JAYUYA, PR 00664-1452
(787) 828-0305
(787) 828-0901
Mailing address
PO BOX 488, JAYUYA, PR 00664-0488
(787) 828-0305
(787) 828-0901

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10849
PR

Other

Enumeration date
02/04/2009
Last updated
02/04/2009
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