Organization Name: | CENTRO DE TRATAMIENTO PRIMARIO DEL ATLANTICO |
NPI Number: | 1114328663 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | POLANSKA RIVERA MARTINEZ (PRESIDENT) |
Mailing Address: | Carr. 123 Km. 73 Bo. Hato Viejo Arecibo |
State: | PR US |
Postal Code: | 006129223 |
Phone Number: | 7876088047 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 17871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |