| Cim | |
|
Ave. Conquistador A45, Monte Brisas Fajardo PR 00738 | |
| (787) 860-1166 | |
| (787) 860-1166 |
| Full Name | Cim |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | Ave. Conquistador A45, Monte Brisas, Fajardo, Puerto Rico |
| Authorized Official Name and Position | Carmen a Ayala (ADMINISTRADOR) |
| Authorized Official Contact | 7878601166 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cim Po Box 776 Puerto Real PR 00740 Ph: (787) 860-1166 | Cim Ave. Conquistador A45, Monte Brisas Fajardo PR 00738 Ph: (787) 860-1166 |
| NPI Number | 1194936203 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194936203 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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