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Ocg Dermatology LLC

Dermatology in San Juan, PR. Organization (NPI-2).

NPI number1053937151
StatusActive
Last updated in NPPESJun 24, 2020

Details

NPI
1053937151
Entity type
Organization (NPI-2)
Legal business name
Ocg Dermatology LLC
Organization subpart
No
Enumeration date
Jun 24, 2020
Certification date
Jun 24, 2020
Last updated
Jun 24, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes

Practice location

107 Calle Hija Del Caribe
San Juan, PR 00918-3204

Phone 939-940-1208

Mailing address

Po Box 7804
Caguas, PR 00726-7804

Phone 939-940-1208

Authorized official

Osward Y Carrasquillo
Dermatologist
9399401208

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