COMERIO VA CLINIC (4014)    INSTITUTION (4)

Name Value
NAME COMERIO VA CLINIC
STATE PUERTO RICO
STREET ADDR. 1 JOSE DE DIEGO ST, #15
CITY COMERIO
ZIP 00782-2531
OFFICIAL VA NAME COMERIO VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME COMERIO VA OOS
EFFECTIVE DATE/TIME
  • 2014-10-01 00:00:00
    STATUS:   ACTIVE
    NPI:   1447648563
LOCATION TIMEZONE ATLANTIC
COUNTRY USA
TIMEZONE EXCEPTION SST Only
STATION NUMBER 672QA