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IPA POLICLINICA VILLA LOS SANTOS NPI 1639393697


NPI Information

NPI: 1639393697
Provider Name: IPA POLICLINICA VILLA LOS SANTOS

Other Name: IPA 029 POLICLINICA VILLA LOS SANTOS

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
V1 CALLE 16
URB. VILLA LOS SANTOS
ARECIBO, PR
ZIP 00612
Phone: (787) 879-1585
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IPA POLICLINICA VILLA LOS SANTOS is a general practice in Arecibo, PR. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee IPA POLICLINICA VILLA LOS SANTOS NPI is 1639393697. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ipa 029 Policlinica Villa Los Santos.

The provider's business location address is:

V1 CALLE 16
URB. VILLA LOS SANTOS
ARECIBO, PR
ZIP 00612-112
Phone: (787) 879-1585
Fax: (787) 879-4315

The provider's authorized official is Maria Gonzalez Agraso .
The authorized official title is Administradora and has the following contact phone number (787) 817-3144.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 6/23/2008.


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
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3208000000XPediatricsNo
4208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERPUERTO RICOTAX ID

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: 5/5/2024

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