Centro Medicina Primaria Vega Alta
NPI #1992166540 in Vega Alta, Puerto Rico
Provider Information
- NPI Number
- 1992166540
- Entity Type
- Organization
- Organization Name
- Centro Medicina Primaria Vega Alta
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Mar 10, 2016
- Last Updated
- Mar 10, 2016
Practice Location
- Address
- 3 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 |
|---|
| Clinical Medical Laboratory |
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