| Centro Pediatrico Stacholy LLC | |
|
24 Calle Coronel Isabela PR 00662-4800 | |
| (787) 872-1100 | |
| Not Available |
| Full Name | Centro Pediatrico Stacholy LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 24 Calle Coronel, Isabela, Puerto Rico |
| Authorized Official Name and Position | Mariela Stacholy (OWNER) |
| Authorized Official Contact | 7878721100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Pediatrico Stacholy LLC Po Box 102 San Antonio PR 00690-0102 Ph: (939) 644-1122 | Centro Pediatrico Stacholy LLC 24 Calle Coronel Isabela PR 00662-4800 Ph: (787) 872-1100 |
| NPI Number | 1932923182 |
|---|---|
| Provider Enumeration Date | 11/14/2024 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932923182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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