Organization Name: | CLINICA FAMILIAR COTO LAUREL INC |
NPI Number: | 1790035616 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ALBERTO SANTOS VAZQUEZ (PRESIDENTE) |
Mailing Address: | Calle Del Parque Bloque 1 Suite 1 Coto Laurel |
State: | PR US |
Postal Code: | 00780 |
Phone Number: | 7878481005 |
Fax Number: | |
NPI Enumeration Date: | 09/18/2012 |
NPI Last Update Date: | 09/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |