Organization
BETANCES CLINICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE A. SEPULVEDA M.D (PRESIDENT)
(787) 778-9696
Entity
Organization
Contact information
Practice address
J11 AVE BETANCES, HERMANAS DAVILA, BAYAMON, PR 00959-5108
(787) 778-9696
Mailing address
CALLE 5 DI 4, TINTILLO GARDENS, GUAYNABO, PUERTO RICO 00966
(787) 778-9696
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
14405
PR
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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