Centro Medicina Primaria Vega Alta

NPI #1184708448 in Vega Alta, Puerto Rico

Provider Information

NPI Number: 1184708448
Entity Type: Organization
Organization Name: Centro Medicina Primaria Vega Alta
Primary Specialty: General Practice
Enumeration Date: Oct 24, 2006
Last Updated: Feb 25, 2008

Practice Location

Address: CARR 2 KM 31.9
Address 2: BO. BAJURA
City: Vega Alta
State: Puerto Rico
ZIP Code: 00692
Phone: (787) 883-0124

Authorized Official

Name: DR. MILDALIAS DOMINGUEZ PASCUAL, M.D.
Title: PRESIDENT
Phone: (787) 883-0124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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