Policlinica Ileanmarie Psc
NPI #1104059062 in San Antonio, Puerto Rico
Provider Information
- NPI Number
- 1104059062
- Entity Type
- Organization
- Organization Name
- Policlinica Ileanmarie Psc
- Primary Specialty
- General Practice
- Enumeration Date
- Aug 26, 2009
- Last Updated
- Aug 26, 2009
Practice Location
- Address
- 1803 CALLE KENNEDY
- City
- San Antonio
- State
- Puerto Rico
- ZIP Code
- 00690
- Phone
- (787) 890-1674
Authorized Official
- Name
- DR. ILEANA ALBINO CRUZ, M.D.
- Title
- PRESIDENT
- Phone
- (787) 890-1674
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Practice |
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