Centro Medicina Primaria Vega Alta

Organization Active NPI Clinical Medical Laboratory · Vega Alta, PR

NPI 1992166540 · NPPES record last updated Mar 10, 2016

Key facts

NPI
1992166540
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
CENTRO MEDICINA PRIMARIA VEGA ALTA
Practice address
3 Luis Munoz Rivera
Vega Alta, PR 00692
Phone
(787) 883-0124
Fax
(787) 883-0222
NPI assigned
Mar 10, 2016
Organization subpart
No

Authorized official

Name
Dr. Mildalias Dominguez, MD
Title
President
Phone
(787) 883-0124

Corporate family (same tax ID) 3

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Centro de Medicina Primaria VA (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

3 Luis Munoz Rivera
Vega Alta, PR 00692

Mailing address

3 Luis Munoz Rivera
Vega Alta, PR 00692
Phone (787) 883-0124

Other providers in Vega Alta, PR

All providers in Vega Alta, PR · Clinical Medical Laboratory in Puerto Rico

Sources for this page

Verify at the official NPI Registry.