SE Primary Care Services Csp

NPI #1831635572 in Maunabo, Puerto Rico

Provider Information

NPI Number: 1831635572
Entity Type: Organization
Organization Name: SE Primary Care Services Csp
Primary Specialty: Contractor
Enumeration Date: Jan 18, 2017
Last Updated: Jan 18, 2017

Practice Location

Address: 36 CALLE BARCELO
City: Maunabo
State: Puerto Rico
ZIP Code: 00707
Phone: (787) 709-5465

Authorized Official

Name: DR. LEOPOLDO SANTIAGO SANTIAGO, MD
Title: PRESIDENT
Phone: (787) 677-1566

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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