Organization Name: | CLINICA DE SALUD FAMILIAR |
NPI Number: | 1346559978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | YANILLE B BURGOS (OWNER) |
Mailing Address: | Avenida Luis Munoz Rivera 91 Santa Isabel |
State: | PR US |
Postal Code: | 007570057 |
Phone Number: | 7878451193 |
Fax Number: | 7878451188 |
NPI Enumeration Date: | 09/30/2010 |
NPI Last Update Date: | 09/30/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 14477 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |