| Organization Name: | CLINICA DE MEDICINA ESPECIALIZADA C.S.P. |
| NPI Number: | 1184014540 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN SANTIAGO-DELGADO (PRESIDENT) |
| Mailing Address: | Pr-140, Km. 57.4 Bo. San Agustin Florida |
| State: | PR US |
| Postal Code: | 006500000 |
| Phone Number: | 9394400114 |
| Fax Number: | 7876807814 |
| NPI Enumeration Date: | 01/23/2015 |
| NPI Last Update Date: | 01/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |