Organization
HOSPITAL SERVICES ON CALL PROGRAM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILDALIAS DOMINGUEZ MD (PRESIDENT)
(787) 883-0124
Entity
Organization
Contact information
Practice address
3 CALLE LUIS MUNOZ RIVERA, VEGA ALTA, PR 00692
(787) 883-0124
Mailing address
PO BOX 4317, VEGA BAJA, PR 00694
(787) 883-0124
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
9886
PR
Other
Enumeration date
07/18/2015
Last updated
07/18/2015
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