Organization
MICA ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLAVIA EDMEE CASTRO MHSA (ADMINISTRATOR)
(787) 249-3799
Entity
Organization
Contact information
Practice address
F8 CALLE RIO CASEY, BAYAMON, PR 00961-3463
(787) 249-3799
Mailing address
F8 CALLE RIO CASEY, BAYAMON, PR 00961-3463
(787) 249-3799
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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