Organization
POLICLINICA LA FAMILIA DE TOA ALTA INC
Active
Other names
POLICLINICA LA FAMILIA DE TOA ALTA INC
Organization subpart
No
Provider details
NPI number
Authorized official
ITZA CHEVRES (PRESIDENT)
(787) 870-7000
Entity
Organization
Contact information
Practice address
CALLE 10 G 12 URB VILLA MATILDE, TOA ALTA, PR 00953
(787) 870-7070
(787) 870-6382
Mailing address
PO BOX 867, TOA ALTA, PR 00954-0867
(787) 870-7070
(787) 870-6382
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
12F2583
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4026046
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/08/2008
Last updated
06/01/2010
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