Advance Adult Medical Clinic
Clinic/Center in Guaynabo, PR. Organization (NPI-2).
NPI number1083840136
StatusActive
Last updated in NPPESJun 3, 2009
Details
- NPI
- 1083840136
- Entity type
- Organization (NPI-2)
- Legal business name
- Advance Adult Medical Clinic
- Organization subpart
- No
- Enumeration date
- Jun 3, 2009
- Last updated
- Jun 3, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
Plaza Guaynabo Shopping MallAltos Caribbean Cinemas, Suite 201
Guaynabo, PR 00970
Phone 787-731-4949 · Fax 787-731-4949
Mailing address
864 C/ Ashford Apt. 610 Flanboyan Apt.San Juan, PR 00907
Phone 787-731-4949 · Fax 787-731-4949
Authorized official
Joseph S Campos Salgado
Presidente
7877314949
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