Organization
YAMCELY MEDICAL SERVICES CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAMIL MATEO - MORENO MD (PRESIDENT)
(787) 824-0050
Entity
Organization
Contact information
Practice address
BO COCO NUEVO 360, CALLE SANTIAGO IGLESIAS, SALINAS, PR 00751-2550
(787) 824-0050
(787) 824-0050
Mailing address
PO BOX 134, SALINAS, PR 00751-0134
(787) 824-0050
(787) 824-0050
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
4307-711
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4307-711
STATE DEPARTMENT
PR
Enumeration date
05/15/2012
Last updated
05/15/2012
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