Promed Carolina
Clinic/Center, Primary Care in Carolina, PR. Organization (NPI-2).
NPI number1750177465
StatusActive
Last updated in NPPESApr 18, 2025
Details
- NPI
- 1750177465
- Entity type
- Organization (NPI-2)
- Legal business name
- Promed Carolina
- Organization subpart
- No
- Enumeration date
- Apr 18, 2025
- Certification date
- Apr 17, 2025
- Last updated
- Apr 18, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1 Roberto Clemente Hsing # C5Carolina, PR 00987-7329
Phone 787-850-8787
Mailing address
674 Camino De Las LavandasDorado, PR 00646-6167
Phone 787-405-6186
Authorized official
Luis Montalvo Toledo
Medical Director
7874056186
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