| Tabula Rasa Corp | |
|
C/reverendo Domingo Navarro Bayamon PR 00961 | |
| (787) 605-5833 | |
| Not Available |
| Full Name | Tabula Rasa Corp |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | C/reverendo Domingo Navarro, Bayamon, Puerto Rico |
| Authorized Official Name and Position | Kendra Alvares-santiago (PRESIDENTE) |
| Authorized Official Contact | 7876054124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tabula Rasa Corp W-23 Bayamon Gardens C/18 Bayamon PR 00957-0000 Ph: (787) 605-4124 | Tabula Rasa Corp C/reverendo Domingo Navarro Bayamon PR 00961 Ph: (787) 605-5833 |
| NPI Number | 1487546560 |
|---|---|
| Provider Enumeration Date | 07/15/2025 |
| Last Update Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487546560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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