Organization
CUMIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILDA CANDELARIO-FERNANDEZ MD (PRESIDENTE UCC)
(787) 798-3001
Entity
Organization
Contact information
Practice address
AVENIDA LAUREL, ESQUINA SANTA JUANITA, 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
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060890
CRUZ AZUL
—
01
—
93801
SSS
—
01
—
9560076
HUMANA
—
Enumeration date
08/10/2006
Last updated
08/22/2020
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