Functional Endocrinology Institute P.S.C
Exclusive Provider Organization in Guaynabo, PR. Organization (NPI-2).
NPI number1295282499
StatusActive
Last updated in NPPESSep 6, 2016
Details
- NPI
- 1295282499
- Entity type
- Organization (NPI-2)
- Legal business name
- Functional Endocrinology Institute P.S.C
- Organization subpart
- No
- Enumeration date
- Sep 6, 2016
- Last updated
- Sep 6, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302F00000X | Exclusive Provider Organization | 18179 | PR | Yes |
Practice location
120 Calle CarazoGuaynabo, PR 00970
Phone 787-400-0333
Mailing address
Po Box 2447Guaynabo, PR 00970-2447
Phone 787-400-0333
Authorized official
Paola M Mansilla Letelier
Owner
7872339108
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