Bella Vista Policlinic, INC
Clinic/Center in Mayaguez, PR. Organization (NPI-2).
NPI number1043246788
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043246788
- Entity type
- Organization (NPI-2)
- Legal business name
- Bella Vista Policlinic, INC
- Organization subpart
- No
- Enumeration date
- Jun 24, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 10 cnc 99-331 | PR | Yes |
Practice location
Ave HostosNumber 770
Mayaguez, PR 00682-6353
Phone 787-834-6161 · Fax 787-805-4635
Mailing address
Po Box 850Mayaguez, PR 00681-0850
Phone 787-834-6161 · Fax 787-805-4635
Authorized official
Enrique Rivera
Administrative Asistant
7878346161
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