Organization
CENTRO MILLAJEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ROSA I MUNOZ (PRESIDENT)
(787) 714-0388
Entity
Organization
Contact information
Practice address
RD 173 11.9 KM BARRIO RABANAL, CIDRA, PR 00739
(787) 714-0388
Mailing address
PO BOX 1783, CIDRA, PR 00739-1783
(787) 714-0388
(787) 739-4453
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1925772
DRIVER LICENSE NUMBER
PR
Enumeration date
02/21/2013
Last updated
02/21/2013
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