GRP Med Policlinica Familiar Factor

Organization Active NPI Health Service Clinic/Center · Arecibo, PR

NPI 1104030568 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1104030568
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
Legal business name
GRP MED POLICLINICA FAMILIAR FACTOR
Practice address
Carr #2 KM 65.6
Bo Factor 1
Arecibo, PR 00612
Phone
(787) 881-2953
Fax
(787) 881-4807
NPI assigned
May 9, 2007
Organization subpart
No

Authorized official

Name
Dr. Jose L Nieves, MD
Title
President
Phone
(787) 881-2953

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
CDT Polic Familiar Fact (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Yes

Addresses

Primary practice location

Carr #2 KM 65.6
Bo Factor 1
Arecibo, PR 00612

Mailing address

PO Box 970
Arecibo, PR 00613
Phone (787) 881-2953

Other identifiers

IdentifierTypeStateIssuer
84974OtherPRGRUPO MEDICO

Other providers in Arecibo, PR

All providers in Arecibo, PR · Health Service Clinic/Center in Puerto Rico

Sources for this page

Verify at the official NPI Registry.