Organization
CUMIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILDA CANDELARIO FERNANDEZ MD (PRESIDENT)
(787) 798-3001
Entity
Organization
Contact information
Practice address
100 AVE LAUREL, SANTA JUANITA, BAYAMON, PR 00956-4816
(787) 798-3001
Mailing address
PO BOX 1786, BAYAMON, PR 00960-1786
(787) 269-0988
(787) 995-6925
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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