| Organization Name: | CENTRO DE ESPECIALISTAS CUIDAD DEL YUNQUE |
| NPI Number: | 1063639755 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANA M APONTE ALVARADO (MANAGER) |
| Mailing Address: | Villas De Rio Grande Calle Garcia De La Noceda B 23 Rio Grande |
| State: | PR US |
| Postal Code: | 00745 |
| Phone Number: | 7878885406 |
| Fax Number: | 7878885406 |
| NPI Enumeration Date: | 04/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 10780 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |