Organization
CLINICA SANTISIMA VIRGEN DEL CARMEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO GARCIA M.D. (OWNER)
(787) 318-2916
Entity
Organization
Contact information
Practice address
PEDRO ALARCON STREET, 615, MAYAGUEZ, PR 00682
(787) 318-2916
Mailing address
PEDRO ALARCON 615 STREET, MAYAGUEZ, PR 00682
(787) 318-2916
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171490
REGISTRATION CERTIFICATE
PR
Enumeration date
05/11/2007
Last updated
08/22/2020
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