Organization
GUAYNABO HEALTH PROVIDERS, CORP.
Active
Other names
CDT AMELIA
Organization subpart
No
Provider details
NPI number
Authorized official
LILIANA MEDINA OTERO (PRESIDENT)
(787) 720-5050
Entity
Organization
Contact information
Practice address
45 CALLE DIEGO VEGA, BARRIO AMELIA, GUAYNABO, PR 00965
(787) 705-5858
Mailing address
140 AVE LAS CUMBRES, SUITE 210, GUAYNABO, PR 00969
(787) 720-5050
(787) 720-4949
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0200X
Radiology Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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