Organization
GRUPO MEDICO CENTRO MEDICINA ESPECIALIZADA
Active
Other names
CENTRO MEDICINA ESPECIALIZADA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL COLLAZO B.S., P.E. (CEO)
(787) 466-6828
Entity
Organization
Contact information
Practice address
BARCELO #12, ESQ. 173, CIDRA, PR 00739-0000
(787) 739-2054
(787) 739-5525
Mailing address
BARCELO #12, ESQ. 173, CIDRA, PR 00739-0000
(787) 739-2054
(787) 739-5525
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
122
PR
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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