Cdt Centro De Medicina Primaria De Vega Alta Corp
NPI #1548645468 in Vega Alta, Puerto Rico
Provider Information
- NPI Number
- 1548645468
- Entity Type
- Organization
- Organization Name
- Cdt Centro De Medicina Primaria De Vega Alta Corp
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jul 21, 2015
- Last Updated
- Jan 25, 2016
Practice Location
- Address
- 3 CALLE LUIS MUNOZ RIVERA
- City
- Vega Alta
- State
- Puerto Rico
- ZIP Code
- 00692
- Phone
- (787) 883-0124
Authorized Official
- Name
- DR. MILDALIAS DOMINGUEZ, MD
- Title
- PRESIDENT
- Phone
- (787) 883-0124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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