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Organization

ATLANTIS HEALTH CARE GROUP PUERTO RICO INC

Active
Other names
Renal Center of Isabela
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RUBETTE HARFORD (PRESIDENT, CEO)
(787) 292-7979
Entity
Organization

Contact information

Practice address
CARRETERA #2 KM 113.5, BO. GUERRERO, ISABELA, PR 00662-0000
(787) 292-7979
(787) 872-8429
Mailing address
PO BOX 1350, SAINT JUST STATION, TRUJILLO ALTO, PR 00977-1350
(787) 292-7979
(787) 872-8429

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
LIC #41 CNC 07-179
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
660675890
IRS
PR
Enumeration date
09/10/2007
Last updated
04/14/2014
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