Organization
PROVIDENCE DIAGNOSTIC AND MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL ASLANIAN (PRESIDENT)
(787) 522-5201
Entity
Organization
Contact information
Practice address
1400 CALLE SAN RAFAEL, SAN JUAN, PR 00909-2693
(787) 522-5201
(787) 552-5207
Mailing address
1400 CALLE SAN RAFAEL, SAN JUAN, PR 00909-2693
(787) 522-5201
(787) 552-5207
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/04/2009
Last updated
10/04/2009
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