Organization
CLINICA DE MEDICINA AVANZADA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR TORRES (EXECUTIVE DIRECTOR)
(939) 940-7555
Entity
Organization
Contact information
Practice address
40 CALLE GAUTIER BENITEZ, CAGUAS, PR 00725-4139
(787) 653-4680
Mailing address
PO BOX 1180, YABUCOA, PR 00767-1180
(787) 653-4680
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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