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NPI Code Detail

MEDICARE: UNIV CENTRAL DEL CARIBE

MEDICARE: UNIV CENTRAL DEL CARIBE
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
1207RG0100XGastroenterology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184783OTHERSSS
2060890OTHERCRUZ AZUL
39560088OTHERHUMANA
40762OTHERINTERNATIONAL MEDICALCARD
56919061OTHERCIGNA

General Provider Information

NPI Number : 1770594392
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIV CENTRAL DEL CARIBE
Provider Business Mailing Address
First Line : PO BOX 60307
Second Line :
City : BAYAMON
State : PR
Zip : 00960-6032
Country : US
Telephone Number : 787-798-3001
Fax Number : 787-778-0460
Provider Business Practice Location Address
First Line : AVENIDA LAUREL
Second Line : ESQUINA SANTA JUANITA #100
City : BAYAMON
State : PR
Zip : 00960
Country : US
Telephone Number : 787-798-3001
Fax Number : 797-778-0460
Authorized Official
Title or Position : PRESIDENTE
Name : DR. NILDA CANDELARIO-FERNANDEZ
Credential : MD
Telephone Number : 787-798-3001
Provider Enumeration Date : 08/10/2006
Last Update Date : 04/20/2008

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Directions to “UNIV CENTRAL DEL CARIBE ” Practice Location

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