Organization
UNIVERSIDAD CENTRAL DEL CARIBE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NILDA CANDELARIO-FERNANDEZ (PRESIDENT UCC)
(782) 798-3001
Entity
Organization
Contact information
Practice address
AVENIDA LAUREL, ESQUINA SANTA JUANITA #100, BAYAMON, PR 00960
(787) 269-0988
(787) 995-6925
Mailing address
PO BOX 1786, BAYAMON, PR 00960-1786
(787) 269-0988
(787) 995-6925
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0083681
MEDICARE
—
01
—
060890
CRUZ AZUL
—
01
—
83801
SSS
—
01
—
9560077
HUMANA
—
Enumeration date
08/10/2006
Last updated
06/20/2008
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