Colonial Medical Management, Corp

NPI 1164771853 - Clinic/Center - 261QR0206X

NPI Details
NPI 1164771853
Enumeration Date 09/10/2012
Last Updated 09/10/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DAVID DAVID
Position MANAGER
Phone (787) 826-8082
Fax (787) 229-1091
Practice Location
CARR 402 KM 1.8 BO MARIAS
ANASCO PR, 00610, US
Phone (787) 826-8082
Fax (787) 229-1091
Business Location
PO BOX 1438
RINCON PR, 00677-1438, US
Phone (787) 826-8082
Fax (787) 229-1091
Toxanomy
Taxonomy Code 261QR0206X
License State
License Number
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According to our database, Colonial Medical Management, Corp NPI is 1164771853, taxonomy code is 261QR0206X Colonial Medical Management, Corp physically located at Carr 402 Km 1.8 Bo Marias, Anasco PR, 00610. NPI Number 1033115704 has the healthcare provider type.

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1164771853 NPI number is provided on an as is basis without warranty of any kind. 1164771853 is maintained by the National Plan & Provider Enumeration System. The contents of Colonial Medical Management, Corp are for informational purposes only.