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Organization

CONSEJO RENAL DE PUERTO RICO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HILDA I RODRIGUEZ (ACCOUNTANT)
(787) 765-1500
Entity
Organization

Contact information

Practice address
#117 ELEANOR ROOSEVELT STREET, SUITE 100A, SAN JUAN, PR 00918
(787) 765-1500
(787) 765-1515
Mailing address
PO BOX 10542, SAN JUAN, PR 00922-0542
(787) 765-1500
(787) 765-1515

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
07-F-0315
PR
3336C0003X
Community/Retail Pharmacy
Primary
09F2556
PR

Other

Enumeration date
12/19/2006
Last updated
07/29/2008
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