Organization
NUBISA
Active
Organization
NUBISA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRTA YARIS RODRIGUEZ LND (PRESIDENT)
(787) 633-0475
Entity
Organization
Contact information
Practice address
H17 AVE MUNOZ MARIN, CAGUAS, PR 00725-6159
(787) 653-9877
Mailing address
H17 AVE MUNOZ MARIN, CAGUAS, PR 00725-6159
(787) 653-9877
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/03/2011
Last updated
04/03/2012
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