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NPI Code Detail

MEDICARE: TOA ALTA CURA HEALTH SERVICES INC.

MEDICARE: TOA ALTA CURA HEALTH SERVICES INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0002XEmergency Care Clinic/Center61PR

General Provider Information

NPI Number : 1083601090
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOA ALTA CURA HEALTH SERVICES INC.
Provider Business Mailing Address
First Line : PO BOX 16
Second Line :
City : TOA ALTA
State : PR
Zip : 00954-0016
Country : US
Telephone Number : 787-870-1529
Fax Number : 787-870-1508
Provider Business Practice Location Address
First Line : 16 CALLE BARCELO
Second Line :
City : TOA ALTA
State : PR
Zip : 00953-2444
Country : US
Telephone Number : 787-870-1529
Fax Number : 787-870-1508
Authorized Official
Title or Position : EXECTUTIVE DIRECTOR
Name : MR. JERRY BAEZ
Credential :
Telephone Number : 787-870-1529
Provider Enumeration Date : 10/04/2005
Last Update Date : 08/22/2020

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