POLICLINICA ILEANMARIE PSC NPI 1104059062

NPI Information

NPI: 1104059062
Provider Name: POLICLINICA ILEANMARIE PSC

Former Legal Business Name: POLICLINICA ILEANMARIE PSC

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1803 CALLE KENNEDY
SAN ANTONIO, PR
ZIP 00690
Phone: (787) 890-1674
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POLICLINICA ILEANMARIE PSC is a general practice in San Antonio, PR. POLICLINICA ILEANMARIE PSC NPI is 1104059062. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Policlinica Ileanmarie Psc.

The provider's business location address is:

1803 CALLE KENNEDY
SAN ANTONIO, PR
ZIP 00690
Phone: (787) 890-1674

The provider's authorized official is Ileana Albino Cruz .
The authorized official title is President and has the following contact phone number (787) 890-1674.

The enumeration date for this NPI number is 8/26/2009 and was last updated on 8/26/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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