Organization
VILLA LOS SANTOS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA J GONZALEZ AGRASO (ADMINISTRADORA)
(787) 879-1585
Entity
Organization
Contact information
Practice address
VILLA LOS SANTOS, CALLE 16 V 1, ARECIBO, PR 00612
(787) 879-1585
(787) 879-4315
Mailing address
PO BOX 9091, ARECIBO, PR 00613-9091
(787) 879-1585
(787) 879-4315
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
133N00000X
Nutritionist
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
06/24/2024
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