Organization
CENTRO DE DIABETES PARA PR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN J. SANTIAGO (COORDINADOR PLANES MEDICOS)
(787) 773-8283
Entity
Organization
Contact information
Practice address
PRIMER PISO EDIFICIO DECANATO DE FARMACIA CENTRO MEDICO, SAN JUAN, PR 00936-8344
(787) 773-8283
(787) 773-8303
Mailing address
PMB #87, PO BOX 70344, SAN JUAN, PR 00936-8344
(787) 773-8283
(787) 773-8303
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUT020
PREFERRED HEALTH
PR
Enumeration date
10/30/2008
Last updated
10/30/2008
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