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Organization

POLICLINICA LA FAMILIA TOA ALTA, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ITZA D CHEVRES M.D. (PRESIDENT)
(787) 870-7121
Entity
Organization

Contact information

Practice address
10ST #G-21, URB. VILLA MATILDE, TOA ALTA, PR 00953
(787) 870-7070
(787) 870-6382
Mailing address
PO BOX 867, TOA ALTA, PR 00954-0867
(787) 870-7070
(787) 870-6382

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
13168
PR
174400000X
Specialist
14703
PR
174400000X
Specialist
7078
PR
2085R0202X
Diagnostic Radiology Physician
2532
PR
302R00000X
Health Maintenance Organization
10413
PR
302R00000X
Health Maintenance Organization
14247
PR
302R00000X
Health Maintenance Organization
5109
PR
302R00000X
Health Maintenance Organization
Primary
9462
PR

Other

Enumeration date
06/28/2006
Last updated
07/06/2011
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