NPI 1104213404

Watchtower

Organisation Point of Service Guaynabo, PR

Practice location

Address: 696 Calle Cubitas, Guaynabo, PR 00969-2809
Phone: (787) 764-2200
Fax: (787) 764-6331
Mailing address: PO Box 11825, San Juan, PR 00922-1825

Authorised official

Name: Cheilaly Vega
Title: Tesorera
Phone: (787) 764-2200

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

Other Point of Service providers in Puerto Rico →

Registry record

NPI: 1104213404
Entity type: Organization
NPI issued: 24 Apr 2015
Record last updated: 24 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.