Organization · NPI-2

Cdt Villa Los Santos, LLC

General Practice · Arecibo, PR

NPI number1083560932
StatusActive
Last updated in NPPESMar 4, 2026

Details

NPI
1083560932
Entity type
Organization (NPI-2)
Legal business name
Cdt Villa Los Santos, LLC
Organization subpart
No
Enumeration date
Mar 4, 2026
Certification date
Mar 4, 2026
Last updated
Mar 4, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes
207Q00000X Family Medicine––
207R00000X Internal Medicine––
208000000X Pediatrics––

Practice location

V1 Calle 16
Arecibo, PR 00612-3112

Phone 787-879-1585

Mailing address

V1 Calle 16
Arecibo, PR 00612-3112

Phone 787-879-1585

Authorized official

Maria J Gonzalez Agraso
Administradora
7878791585

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