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IVF Spain Madrid

Analyzed by (invitra staff).
Last Update: 11/17/2020

Description

IVF Spain Madrid, formerly called Procreatec, is a private fertility clinic located near the Santiago Bernabéu stadium in Madrid. This clinic was founded in 2008 by Dr. Jon Aizpurua.

The IVF Spain Madrid team is made up of 25 professionals from different fields: doctors and biologists specializing in Assisted Reproduction, nurses, urologists, anesthesiologists, psychologists, and Patient Care Professionals (APIS) in order to provide their patients with individualized and personalized treatment. Specifically, Dr. Rut Gómez de Segura is the medical director; while the laboratory is directed by embryologist Félix Rodríguez.

Approximately 70% of the patients who visit IVF Spain Madrid are international, so this center offers assistance in different languages: Spanish, English, French, German and Arabic.

On the other hand, IVF Spain Madrid has UNE 179007:2013 and ISO 9001:2015 certifications. If you need information on how to get to IVF-Spain, either by public or private transport, you can access this link.

History

The IVF Madrid center belongs to the IVF-Spain Group, which also includes the IVF-Donostia clinic in Guipúzcoa and IVF-Alicante, the main headquarters of the entire group.

In spite of only 10 years in operation, the IVF-Spain group has achieved great growth and expansion, which has allowed them to have large facilities and a large number of workers among gynecologists, embryologists, nurses, patient assistants (APIS), etc.

Recently, this group has also been awarded the IVF CLINIC AWARDS 2019 in the categories of Customer Service & Communication and Intimacy & Care. In addition, they have also won two iCIRA awards for research, quality, and image in assisted reproduction.

Facilities

IVF-Spain Madrid is located in the district of Chamartín, in the Hispanoamérica district. Its facilities are modern and are distributed over two floors plus a basement for the exclusive use of the staff.

Below, all the areas of the clinic are detailed, with the equipment and technology available for carrying out fertility treatments.

Building and surroundings

All the services of IVF Spain Madrid are distributed over two floors of the building. The entrance to the clinic, as well as its interior, is adapted for people with reduced mobility. In the area of the stairs, there is an elevator to be able to go up and down the wheelchair.

On the other hand, parking in the same street as the clinic is complicated, although there is the Santiago Bernabéu Stadium parking lot a few meters away from IVF Spain Madrid.

Reception and waiting room

Just as you enter IVF Spain Madrid you will find the reception and the waiting room. This area of the clinic was renovated in 2015 and has a modern white counter and armchairs in the same color. Behind the reception desk, there is a staircase leading to the ground floor.

The waiting time in the room before going to the consultation is usually no more than 10-15 minutes. In addition, IVF Spain Madrid offers its patients water or coffee and also Wifi and television service to make the wait more enjoyable.

Apart from all this, on the ground floor of the center, there is another reception desk and an individual waiting room with two black armchairs for egg donors. This prevents patients from crossing paths with donors during their stay at the center.

Consultations

IVF Spain Madrid has 3 medical offices, all of which have an examination room and an articulated gynecological table. These clinics also have a washroom, toilet, paper, and soap dispenser.

The ultrasound machine they have is the Toshiba Xario 100 MX, a state-of-the-art ultrasound machine that also allows doppler-color and with a screen so that the woman can see the ultrasound.

IVF Spain Madrid has 4 gynecologists who are specialists in assisted reproduction and all of them offer care in Spanish and English. In addition, Dr. Maria Calomarde speaks French, Dr. Katharina Spies speaks French and German, and Dr. Meski speaks Arabic.

They are also on duty on weekends and holidays in case it is necessary to make any puncture or embryo transfer.

Nursing room

The blood collection or nursing room is located on the ground floor of IVF Spain Madrid. In this room, there is an armchair with armrests, a storage area for gauze, needles, etc., and a centrifuge.

Operating Room

The sterile area of IVF Spain Madrid, where the operating room, recovery boxes, and laboratories are located, is on the top floor. This area is accessed by a staircase and a door.

The operating room is large, has approximately 12m2, and is equipped with everything necessary to carry out fertility treatments and minor outpatient surgery. The resources available in this area are as follows:

  • Accessory table.
  • A Mitsubishi ultrasound machine that only does 2D scans.
  • Fabius Anesthesia Administration System.
  • Cardio-Aid 200-B defibrillator for fast and accurate defibrillation.
  • Crash cart.
  • Ultra-purified air line.
  • Vacuum cleaner.

It should be noted that the operating table is not fixed, but is a mobile articulated stretcher with which the patient is transferred from the operating room to the recovery box. Therefore, the patient does not have to get up at any time until she is recovered.

Communication with the in vitro fertilization (IVF) laboratory is not direct, but it is necessary to go out to a common area within the surgical area.

In addition, the walls and floor of the operating room are designed so that dirt does not accumulate and maximum sterile conditions are maintained.

As for the staff involved in the operating theatre, there is the nurse, the gynecologist, the anesthetist, the assistant, and sometimes the biologist.

Laboratories

IVF Spain Madrid has two physically separate laboratories: the andrology laboratory and the IVF laboratory. However, most of the work is carried out in the IVF laboratory.

A total of 5 embryologists work in the laboratory area and all of them speak English and Spanish. In addition, embryologist Javier Garcia also speaks French. The laboratory team takes shifts for one of them to be on duty on weekends and holidays.

On the other hand, all the administrative laboratory work, as well as the changing rooms, is located in an external location, on the ground floor of the center.

Below, we comment on both laboratories:

Andrology Laboratory

This room is small and is where the sperm analysis and processing of seminal samples are performed. Specifically, the IVF Spain Madrid andrology laboratory carries out seminograms, sperm training and sperm sample freezing.

The resources available in the andrology laboratory are as follows:

  • 1 Laminar flow hood.
  • 1 Phase contrast microscope.
  • 1 Incubator.
  • 1 Centrifuge.
  • 1 Fridge.

Therefore, this laboratory has all the necessary material to carry out the seminal procedures they offer their patients.

IVF Laboratory

The IVF laboratory is a large and elongated space of 30m2 and was last renovated in 2016.

The access doors to the laboratory are automatic by means of a movement sensor. This room has no windows, the light is very dim and the average temperature is about 20-24ºC, which are the necessary conditions for optimal embryo culture.

In addition, the IVF laboratory features ceramic furniture, PVC walls from clean rooms, rounded floor bases to prevent dirt from accumulating, and a ventilation system controlled by HEPA filters, and positive pressure. All these features make it possible to keep the area clean and sterile throughout the IVF laboratory.

In relation to the material and equipment available to carry out all assisted reproduction techniques, IVF Spain Madrid has the following resources:

  • 2 Laminar flow hoods, both heated.
  • 4 heated blocks.
  • 2 inverted microscopes.
  • 2 binocular magnifiers.
  • 2 Microinjectors.
  • 5 automatic pipettes.
  • 2 Time-Lapse Incubators (Embryoscope).
  • 3 sandwich-type incubators with independent compartments.

The traceability system of biological samples for monitoring, identification, and follow-up of the same is carried out through the double control in IVF Spain Madrid.

On the other hand, the technique used to freeze eggs and embryos is vitrification, and the method used to biopsy the embryos and analyze them genetically is by laser. This laser belongs to IVF Spain Madrid, and 4 of the 5 embryologists have the capacity to perform the embryo biopsy.

Recovery Rooms

IVF Spain Madrid has 2 individual recovery boxes, all of which have private toilets, although the sink is outside the toilet.

As we have already mentioned, these rooms are located in the sterile area next to the operating room and, in addition, the stretchers are portable and are the ones used in the operating room for operations.

In addition to the articulated stretcher, the furniture that can be found in the recovery box is a passenger seat, a mirror, a shelf, a sink, a soap, and a paper dispenser.

After each intervention, IVF Spain Madrid offers all its patients juice and some pastries for a better recovery.

Sperm collection room

On the ground floor of IVF Spain Madrid, there is a small room for obtaining semen samples.

The resources available here are a television with a video catalog, headphones, and various magazines. This room also has an armchair, a stool, a sink and a paper dispenser.

Egg donor facilities

IVF Spain Madrid has an area within the clinic for those women who are going to donate their eggs to avoid meeting the patients. This area is accessed through another door located on the same street and down some stairs.

In the egg donor area, there is an individual waiting room with two black chairs and a glass table. In addition, there is a reception on the left and an exclusive consultation for donors.

Also, the doctor responsible for the donor cycle, and the donor coordinator is Dr. Maria Calomarde.

Furthermore, IVF Spain Madrid has its own computer system for assigning donors. This assignment is made by the medical team based on physical characteristics and blood group, as established by Law 14/2006 on Assisted Human Reproduction Techniques. In addition, and if there are several possible candidates, IVF Spain Madrid also takes into account a form in which patients indicate preferences on physical features, education, and other aspects not covered by the legislation.

How is the first visit?

The first visit at IVF Spain Madrid lasts approximately 3 and a half hours, half of which will be with the gynecologist and half with the patient care staff (APIS).

On this first visit to the clinic, patients are advised to bring all previous medical history, tests performed, analyses, etc. and all of this will be evaluated by the doctor.

The cost of this first consultation is 180 euros for international patients and 140 euros for national patients and includes basic analysis for men and women, ultrasound, cytology and transfer test. This cost will be deducted from the final budget of the treatment if it is carried out in IVF Spain Madrid.

However, IVF Spain Madrid also offers a first informative visit free of charge.

The seminogram is not included in the price of the first visit to IVF Spain Madrid but costs 100 euros including the freezing. It is also possible to perform an advanced seminogram, which includes the sperm fragmentation test. Its price is 200 euros and also includes the freezing of the sample.

Once the patients have gone to the gynecologist, she has explained the treatment according to the results, consent, etc. it is time to go to APIS. They will be in charge of explaining the budgets and the methodology of the treatment.

Another option is to make the first visit to IVF Spain Madrid by video call. In this case, this consultation is only informative and has no cost. However, if international patients decide to make the first visit, the procedure is the same as if they were nationals.

Finally, IVF Spain Madrid has treatment financing options for national patients, but not for international patients.

What treatments do they perform?

The fertility treatments carried out at the IVF-Spain Madrid clinic are those indicated in the following table.

Fresh Donor Egg IVF Cycle - Exclusive Donor
In Vitro Fertilization / ICSI
IUI with Donor Sperm
IUI with Partner's Sperm

If you're still unsure which fertility treatment is right for you and would like to know more about it, we suggest you read on here: Fertility Treatment Overview.

The treatment costs may vary significantly depending on the tests or techniques included or not, such as the seminogram, medication, fertility testing, medical visits, prolonged culture or embryo vitrification.

This Tool helps you to find out the exact costs of the different fertility clinics (what's included and what's not) and provides you with lots of useful tips for your first appointment.

Complementary techniques

In addition to all the treatments indicated in the previous section, ART Reproducción also offers its patients the possibility of carrying out the following complementary techniques in order to increase the chances of success

  • Embryo culture with Time-Lapse technology in Embryoscope incubator.
  • Long culture: up to the blastocyst stage
  • Assisted Hatching.
  • Carrier test or genetic compatibility test to study recessive hereditary diseases in the future parents. However, this technique is performed externally in Igls.
  • Map of endometrial receptivity (ER Map) to determine the receptivity of the uterus during the implantation window.
  • Testicular biopsy by TESA(Testicular Sperm Aspiration).
  • Sperm selection with MACS.

Diagnostic techniques

At IVF-Spain Madrid it is also possible to perform the following diagnostic tests, both for those patients who need to find out the cause of sterility and for those women who have achieved pregnancy:

  • Female fertility study.
  • Male fertility study.
  • 2D and 3D ultrasounds.
  • Semen analysis.
  • Advanced semen analysis including sperm DNA fragmentation test.
  • InMAP test, an immunological study of the endometrium.

All the tests, complementary techniques, genetic and immunological tests that we have mentioned are carried out by the company iGLS, which is located just a few metres from the headquarters of IVF Spain, IVF-Spain Alicante.

Other services

To treat severe cases of infertility, the intervention of a gynecologist may not be sufficient and the participation of other medical professionals may be required. Therefore, IVF Spain Madrid also offers its patients the following specialties:

  • Psychological care.
  • Acupuncture.
  • Urology.
  • Geneticist.
  • Immunologist.

In addition, IVF Spain Madrid has units specializing in recurrent miscarriage, implantation failures, etc., which are made up of various doctors and professionals from the entire group.

All of these services are not included in the cost of treatment but are an extra cost for the patient who wants them.

On the other hand, IVF Spain Madrid also offers a free return service to the airport.

Success rates

The Spanish Fertility Society is in charge of compiling the results of all the Spanish assisted reproduction clinics every year and making a statistical analysis. In fact, the SEF is the only scientific and independent organization of the clinics that collects and publishes these data in an objective manner.

Although our analysis of this clinic was carried out in 17th November, 2020, we have to indicate that the last report published by the SEF shows the success rates obtained in the year 2018 (National Activity Register 2018-SEF Register).

Normally, there is a delay of about 2 years in the publication of these statistics due to the difficulty in data collection and the controls that are carried out. It should be noted that, to collect data from a gestation achieved in December 2017, we must wait until delivery, which will be approximately in September 2018.

It should also be taken into account that directly comparing pregnancy rates between different clinics can lead to misunderstandings because there are many factors that influence the results, such as the cause of sterility or the particular characteristics of each treatment.

Therefore, the SEF data shown below should be taken as a mere guide. In addition, we recommend reading this article for a better interpretation of the statistics.

More information

IVF/ICSI

Realized cycles

Number of total cycles performed by the clinic in a year.

The SEF does not provide an exact number of annual cycles that each center performs, but rather it does so in the form of ranges as follows: less than 100 annual cycles, between 100 and 500 annual cycles, or more than 500 annual cycles.

From inviTRA we consider that for a better interpretation of the results it would be good that the SEF provides more exact data or smaller ranges for the number of annual cycles.

This is the total number of cycles performed by IVF Spain Madrid in a year.

More information
Cycles with fresh embryos: 100 a 500 per year
Cycles with frozen embryos: 0 a 99 per year

Implantation rate per transfer

The probability that an embryo will implant in the woman's uterus after the transfer.

This success rate refers to the probability that a transferred embryo will nest in the woman's uterus. It is calculated as follows: number of gestational sacs observed on ultrasound divided by the number of embryos transferred.

The SEF shows this value in the form of an interval, since it is very complicated to provide an exact percentage due to the variability of factors that we have already discussed.

It should also be taken into account that the more assisted reproduction cycles the clinic performs, the narrower this interval will be and the better the interpretation.

Below, we show the implantation rates per embryo transfer in IVF Spain Madrid.

More information
Transfer of fresh embryos
28.6% - 46%
Transfer of frozen embryos
26.6% - 44.2%

Pregnancy probability per transfer

Probability that an embryo transfer will lead to a pregnancy, regardless of the number of embryos transferred.

This success rate refers to the probability of pregnancy for each embryo transfer, regardless of the number of embryos transferred and the type of gestation obtained, that is, whether it is a single or multiple gestation.

The SEF divides this success rate according to the woman's age and is also shown in the form of an interval, so it is likely that very large intervals will be found in clinics that perform few cycles.

These are the pregnancy rates per embryo transfer obtained by IVF Spain Madrid.

More information

Fresh embryo transfer

Recipient woman's age: under 35 years old
38.6% - 83.6%
Recipient woman's age: between 35 and 39 years old
27.2% - 57.8%
Recipient woman's age: over 40 years old
17.9% - 50.8%

Frozen embryo transfer

Recipient woman's age: under 35 years old
35.1% - 72%
Recipient woman's age: between 35 and 39 years old
17.2% - 49.4%
Recipient woman's age: over 40 years old
12.5% - 43.7%

Percentage of transferred embryos

Percentage of embryo transfers made with one, two or three embryos

According to Law 14/2006 on Assisted Human Reproduction Techniques, in Spain it is only permitted to transfer a maximum of 3 embryos at each attempt.

Even so, a higher percentage of single-embryo transfers is now considered a quality parameter for clinics, since although transfers of two or three embryos increase the rate of gestation, twin or multiple pregnancies have many risks for the mother and babies and must be avoided at all costs.

The recommendation of inviTRA is to transfer only 1 or 2 embryos whenever possible.

In IVF Spain Madrid they have the following percentages in terms of number of embryos transferred.

More information

Fresh embryo transfer

Transfer of 1 embryo (70%)
Transfer of 2 embryos (28.9%)
Transfer of 3 embryos (1.1%)

Frozen embryo transfer

Transfer of 1 embryo (79.6%)
Transfer of 2 embryos (19.4%)
Transfer of 3 embryos (1.1%)

Type of pregnancy per transfer

Types of pregnancies achieved according to the number of embryos transferred

As we have said, a single gestation is the best result that can be obtained after an assisted reproduction treatment.

In the following graphs, the percentage of each type of gestation obtained in IVF Spain Madrid is shown according to the number of embryos transferred.

Due to the risks associated with multiple pregnancies (lower birth weight, higher probability of premature birth, etc.), the ideal would be to always obtain a single gestation rate of 100%, regardless of having transferred 1, 2 or 3 embryos.

More information

Transfer of fresh embryos

Transferring one embryo
Single pregnancy: 100%
Twin pregnancy: 0%
Multiple pregnancy: 0%
Transferring two embryos
Single pregnancy: 66.7%
Twin pregnancy: 33.3%
Multiple pregnancy: 0%
Transferring three embryos
Single pregnancy: 100%
Twin pregnancy: 0%
Multiple pregnancy: 0%

Transfer of frozen embryos

Transferring one embryo
Single pregnancy: 95.7%
Twin pregnancy: 4.3%
Multiple pregnancy: 0%
Transferring two embryos
Single pregnancy: 63.6%
Twin pregnancy: 36.4%
Multiple pregnancy: 0%
Transferring three embryos
Single pregnancy: 100%
Twin pregnancy: 0%
Multiple pregnancy: 0%

IVF with egg donation

Realized cycles

Number of total cycles performed by the clinic in a year.

As far as egg donation is concerned, these are the ranges of annual cycles performed by IVF Spain Madrid.

As we have indicated above, the SEF does not provide the exact number of cycles performed by a center and that makes it difficult to interpret.

More information
Fresh IVF cycles: 100 a 500 per year
Cycles with frozen embryos: 100 a 500 per year

Implantation rate per transfer

The probability that an embryo will implant in the woman's uterus after the transfer.

The probability of a successful egg donation is usually higher than that of IVF with own eggs.

Taking this into account, these are the implantation rates obtained in IVF Spain Madrid for IVF with donated eggs.

More information
Transfer of fresh embryos
52.6% - 65.8%
Transfer of frozen embryos
27.7% - 39.2%

Pregnancy probability per transfer

Probability that an embryo transfer will lead to a pregnancy, regardless of the number of embryos transferred.

In the case of egg donation, the probability of achieving a pregnancy does not depend so much on the age of the recipient woman. Still, the SEF divides this success rate equally into age ranges.

It should also be noted that the current trend is to perform IVF with frozen donor eggs rather than fresh ones.

These are the pregnancy rates by embryo transfer obtained in IVF Spain Madrid for egg donation.

More information

Fresh embryo transfer

Recipient woman's age: under 35 years old
79.4% - 100%
Recipient woman's age: between 35 and 39 years old
36.2% - 69.7%
Recipient woman's age: over 40 years old
54.1% - 71.2%

Frozen embryo transfer

Recipient woman's age: under 35 years old
0% - 37.8%
Recipient woman's age: between 35 and 39 years old
27.3% - 59.2%
Recipient woman's age: over 40 years old
28.5% - 42.6%

Percentage of transferred embryos

Percentage of embryo transfers made with one, two or three embryos

Given the high probability of achieving a pregnancy with donated eggs, it is always preferable to transfer a single embryo in this treatment in order to avoid a multiple pregnancy.

In IVF Spain Madrid the embryos resulting from egg donation are transferred in the following manner.

More information

Transfer of fresh embryos

Transfer of 1 embryo (75.4%)
Transfer of 2 embryos (24.6%)
Transfer of 3 embryos (0%)

Transfer of frozen embryos

Transfer of 1 embryo (85%)
Transfer of 2 embryos (15%)
Transfer of 3 embryos (0%)

Type of pregnancy per transfer

Types of pregnancies achieved according to the number of embryos transferred

Finally, these are the types of pregnancies achieved by IVF Spain Madrid according to the number of embryos transferred in egg donation IVF.

More information

Fresh Embryo transfer

Transferring one embryo
Single pregnancy: 97.4%
Twin pregnancy: 2.6%
Multiple pregnancy: 0%
Transferring two embryos
Single pregnancy: 48.4%
Twin pregnancy: 51.6%
Multiple pregnancy: 0%

Frozen Embryo transfer

Transferring one embryo
Single pregnancy: 100%
Twin pregnancy: 0%
Multiple pregnancy: 0%
Transferring two embryos
Single pregnancy: 70%
Twin pregnancy: 30%
Multiple pregnancy: 0%

Artificial insemination with donor sperm

Pregnancy rate per cycle

Number of pregnancies per cycle according to the woman's age.

To show the pregnancy rate of donor artificial insemination, the SEF divides the results according to the woman's age.

These are the probability intervals of pregnancy achieved by IVF Spain Madrid for donor artificial insemination.

More information
Patient's age: under 35 years old
0% - 71.1%
Patient's age: between 35 and 39 years old
0.2% - 46%

Type of gestation by pregnancy

Type of pregnancy obtained after performing an artificial insemination treatment

As for the type of pregnancy obtained after getting a positive result with donor artificial insemination, these are the data obtained by IVF Spain Madrid according to the woman's age.

It is worth noting the risks that a multiple pregnancy entails for both mother and babies, so the ideal result in any assisted reproduction treatment is a single gestation.

More information

Women under 35 years

Single pregnancy (100%)
Twin pregnancy (0%)
Multiple pregnancy (0%)

Women between 35-39 years

Single pregnancy (100%)
Twin pregnancy (0%)
Multiple pregnancy (0%)

Medical team

Dr. Rut Gómez de Segura
Medical Director
Gynecologist
Licence number: 282908776
Dr. María Calomarde
Gynecologist
Licence number: 282863855
Dr. Katharina Spies
Gynecologist
Licence number: 282867990
Dr. Zineb Meski
Gynecologist
Fertility Specialist
Félix Rodríguez
Laboratory Director
Ester Padilla
Senior Embryologist
Pilar González
Senior Embryologist
Álvaro Martínez
Embryologist
Javier García
Embryologist
Lorena López
Nurse
Raquel Pascual
Nurse
Mónica Moraru
Nurse
Irene Álvarez
Patient Care
Silvia Fernández
Patient Care
Cristina López
Patient Care
Maribel de la Torre
Patient Care
Natalie Kunsch
Patient Care
Hélène Fortané
Patient Care
Feriel Khelifati
Patient Care
Sophie Ortells
Patient Care
Angela Arlotta
Patient Care
Roberta Zazzarino
Roberta Zazzarino
Patient Care
Irene Dietrich
Patient Care
Natalia May
Patient Care
Chloé  Martinez
Chloé Martinez
Patient Care
Sonia Jabouai
Sonia Jabouai
Patient Care

Clinic location

The IVF Spain Madrid clinic is located in Calle Manuel de Falla, N/6-8, in Madrid. This location belongs to the Hispanoamérica district of Chamartín, in the northeast of the city.

This clinic is very close to Santiago Bernabéu Stadium and there are many hotels around it.

How to get there?

To get to IVF Spain Madrid from Atocha station in your own vehicle, you can take approximately 20 minutes. Take Méndez Álvaro Street and the M-30 until you take exit 3A-3B towards Costa Rica Street. Then, continue along Padre Damián Street towards Manuel de Falla Street.

As far as public transport is concerned, it is possible to take the underground line 10 which has a stop (Santiago Bernabéu and Cuzco) 550 meters from the clinic. In addition, the bus line 150 also stops (Padre Damián-Rafael Salgado) just 100 meters from IVF Spain Madrid.

However, it should be noted that the directions and estimated time of arrival at the clinic will vary depending on the starting point in Madrid.

Conclusion

IVF Spain Madrid is a good assisted reproduction clinic, as they perform a large number of cycles per year, attend a high percentage of international patients and their success rates are very good according to the SEF.

Being in the Chamartin district, it is very easy to get to the clinic with your own vehicle, but parking in the same street as the clinic can be complicated. However, there is a public stadium parking lot approximately 7 minutes' walk from the clinic. In addition, IVF Spain Madrid has modern facilities, managing to create a calm and pleasant environment for patients.

On the other hand, the laboratory, as well as the operating room, are equipped with all the necessary and latest generation technology to guarantee the success of fertility procedures.

If you have any doubts when choosing a fertility clinic, we can give you more recommendations and advice such as those found in the article Things to Consider to Choose the Right Fertility Clinic for You or in the Fertility Report.

Healthcare Operating Authorization

Health Center approved by the Spanish Ministry of Health - License number (CNN): 1328008667

Last Update: 11/17/2020