Salud Directa De Puerto Rico

NPI #1215107628 in Vega Alta, Puerto Rico

Provider Information

NPI Number: 1215107628
Entity Type: Organization
Organization Name: Salud Directa De Puerto Rico
Primary Specialty: General Practice
Enumeration Date: Mar 3, 2008
Last Updated: Mar 3, 2008

Practice Location

Address: CALLE LUIS MUNOZ RIVERA #3
City: Vega Alta
State: Puerto Rico
ZIP Code: 00692
Phone: (787) 883-0124

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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