| Organization Name: | CENTRO SERVICIOS PRIMARIOS DE SALUD DE PATILLAS INC.SI SATELLITE CLINI |
| NPI Number: | 1497163893 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CARMEN S RIVERA (ADMINISTRATIVE ASSISTANT) |
| Mailing Address: | 32 Munoz Rivera St. Santa Isabel |
| State: | PR US |
| Postal Code: | 007570000 |
| Phone Number: | 7878455841 |
| Fax Number: | |
| NPI Enumeration Date: | 07/29/2014 |
| NPI Last Update Date: | 07/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |