| Organization Name: | INSTITUTO MEDICO DE CIALES, CORP |
| NPI Number: | 1124256813 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA DE LOS ANGELES COLLAZO (PRESIDENT) |
| Mailing Address: | 25 Calle Jose De Diego Ciales |
| State: | PR US |
| Postal Code: | 006383229 |
| Phone Number: | 7878711146 |
| Fax Number: | 7878711207 |
| NPI Enumeration Date: | 07/01/2009 |
| NPI Last Update Date: | 07/01/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1100X |
| License Number: | 9227 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Research |
| Taxonomy Definition: | |