Organization
ISLOTE MEDICAL SOLUTIONS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT RODRIGUEZ JR. TAC-III-05-20-2051 (EXECUTIVE DIRECTOR)
(787) 636-5443
Entity
Organization
Contact information
Practice address
CARRETERA 681 KM 4.4, BARRIO ISLOTE, ARECIBO, PR 00612
(787) 878-0948
(787) 881-5073
Mailing address
CARR 681 # KM4.4, BO. ISLOTE, ARECIBO, PR 00612-5313
(787) 881-5073
(787) 878-0948
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
CB-0712
PR
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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