Organization
CENTRO DE DIAGNOSTICO Y TRATAMIENTO YABUCOA
Active
Other names
CDT Yabucoa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN R RODRIGUEZ MPA (DIRECTORA EJECUTIVA)
(787) 771-2100
Entity
Organization
Contact information
Practice address
CDT YABUCOA, CARR.901 CALLE SATURNINO RODRIGUEZ #100, YABUCOA, PR 00767
(787) 893-0480
(787) 771-2295
Mailing address
CDT YABUCOA, P O BOX 8548, YABUCOA, PR 00726
(787) 893-0480
(787) 771-2295
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
63
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00380
E R
PR
01
—
030764
E R
PR
01
—
09222
E R
PR
01
—
1000675
E R
PR
01
—
19068
E R
PR
01
—
40157
E R
PR
01
—
600010
E R
PR
01
—
6604363425Y
E R
PR
01
—
7670044
E R
PR
01
—
S329
E R
PR
01
—
SH00804
E R
PR
Enumeration date
04/20/2007
Last updated
08/22/2020
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