Dialysis Access Center LLC
NPI #1508037011 in Mayaguez, Puerto Rico
Provider Information
- NPI Number
- 1508037011
- Entity Type
- Organization
- Organization Name
- Dialysis Access Center LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Mar 13, 2008
- Last Updated
- Oct 16, 2008
Practice Location
- Address
- 357 AVE HOSTOS
- Address 2
- OFFICE PARK II SUITE 203
- City
- Mayaguez
- State
- Puerto Rico
- ZIP Code
- 00680-1507
- Phone
- (847) 388-2065
Authorized Official
- Name
- MS. LYSA JACKS
- Title
- CREDENTIALING SPECIALIST
- Phone
- (847) 388-2065
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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