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Organization

GUAYNABO HEALTH PROVIDERS, CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LILIANA MEDINA (PRESIDENT)
(787) 720-5050
Entity
Organization

Contact information

Practice address
140 AVE LAS CUMBRES, GUAYNABO MEDICAL MALL, GUAYNABO, PR 00969-5523
(787) 720-5050
(787) 720-4949
Mailing address
PMB 205 PO BOX 70344, SAN JUAN, PR 00936-8344
(787) 720-5050
(787) 720-4949

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
261QP2300X
Primary Care Clinic/Center
Primary

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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