| Iniciativa Comunitaria, Inc | |
|
Street Quisqueya # 61 Esq Chile Hato Rey PR 00936-6535 | |
| (787) 250-8629 | |
| (787) 753-4454 |
| Full Name | Iniciativa Comunitaria, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | Street Quisqueya # 61, Hato Rey, Puerto Rico |
| Authorized Official Name and Position | Jose A Vargas Vidot (MEDICO) |
| Authorized Official Contact | 7872508629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iniciativa Comunitaria, Inc 61 Calle Quisqueya Po Box 366535 San Juan PR 00917-1202 Ph: (787) 250-8629 | Iniciativa Comunitaria, Inc Street Quisqueya # 61 Esq Chile Hato Rey PR 00936-6535 Ph: (787) 250-8629 |
| NPI Number | 1316158132 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 04/28/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316158132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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