Organization · NPI-2

Centro Dr. Edwin F. Girau Nieves

Clinic/Center · Vega Alta, PR

NPI number1912109448
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1912109448
Entity type
Organization (NPI-2)
Legal business name
Centro Dr. Edwin F. Girau Nieves
Organization subpart
No
Enumeration date
Jun 5, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center10829PRYes

Practice location

Calle Emilio Giboyeaux # 28
Vega Alta, PR 00692

Phone 787-883-2766 · Fax 787-883-2725

Mailing address

Sabana Branch P. O. Box 948718
Vega Baja, PR 00694

Phone 787-883-2711 · Fax 787-883-2725

Authorized official

Evelyn Samo
Secretaria
7878832766

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