Organization
SALUD INTEGRAL EN LA MONTANA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GISELLE MARIE DIAZ LUQUIS (NUTRITIONIST)
(787) 375-9015
Entity
Organization
Contact information
Practice address
CARR. 152 KM 12 HM. 4, NARANJITO, PR 00719-0515
(787) 869-5900
Mailing address
PO BOX 515, NARANJITO, PR 00719-0515
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
1549
PR
Other
Enumeration date
12/28/2009
Last updated
01/03/2010
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