| Organization Name: | ADVANCED MEDICAL CLINIC INC |
| NPI Number: | 1013104462 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ORLANDO E RIVERA USERA (PRESIDENTE) |
| Mailing Address: | Suite 7 Centro Comercial Valle Tolima 285 Ave Regimiento De Infanteria Caguas |
| State: | PR US |
| Postal Code: | 00725 |
| Phone Number: | 7877476300 |
| Fax Number: | 7879615501 |
| NPI Enumeration Date: | 10/01/2007 |
| NPI Last Update Date: | 02/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 15449 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |