| Organization Name: | CLINICA MUNDO SALUD SAN SEBASTIAN C.S.P. |
| NPI Number: | 1700107513 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HECTOR JUAN PEREZ FELICIANO (PRESIDENT) |
| Mailing Address: | 594 Ave Emerito Estrada Rivera San Sebastian |
| State: | PR US |
| Postal Code: | 006853114 |
| Phone Number: | 7872802626 |
| Fax Number: | |
| NPI Enumeration Date: | 06/15/2010 |
| NPI Last Update Date: | 06/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17408 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |