Organization
CENTRO DE VACUNACION POLICLINICA DR. RADAMES MARIN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADAMES MARIN MD (PRESIDENT)
(787) 856-0844
Entity
Organization
Contact information
Practice address
61 CALLE COMERCIO, YAUCO, PR 00698-3541
(787) 856-0844
(787) 267-5554
Mailing address
PO BOX 1665, YAUCO, PR 00698-1665
(787) 856-0844
(787) 267-5554
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10525
TRIPLE S
PR
Enumeration date
02/13/2007
Last updated
05/07/2015
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