Organization
SERVICIOS PREVENTIVOS DE SALUD DE PUERTO RICO, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIAN FELICIANO-NIEVES (DIRECTORA EJECUTIVA)
(787) 896-1850
Entity
Organization
Contact information
Practice address
3 CALLE JOSE MENDEZ CARDONA, SAN SEBASTIAN, PR 00685
(787) 896-1850
(787) 280-1698
Mailing address
PO BOX 486, SAN SEBASTIAN, PR 00685-0486
(787) 896-1850
(787) 280-1698
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
338074
CERTIFICATE OF REGISTRATION
PR
Enumeration date
08/11/2015
Last updated
08/11/2015
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