Organization
CENTRO PEDIATRICO COUNTRY CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO MANUEL FONTANET M.D. (MEDICAL DIRECTOR)
(787) 769-5500
Entity
Organization
Contact information
Practice address
GO7 AVE ROBERTO SANCHEZ VILELLA, COUTRY CLUB, CAROLINA, PR 00982-2678
(787) 769-5500
(787) 762-9110
Mailing address
GO7 AVE ROBERTO SANCHEZ VILELLA, COUTRY CLUB, CAROLINA, PR 00982-2678
(787) 769-5500
(787) 762-9110
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2007
Last updated
08/07/2008
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