Organization · NPI-2

Alter Ego Orthopedics, P.S.C.

Orthopaedic Surgery · San Juan, PR

NPI number1114159563
StatusActive
Last updated in NPPESAug 6, 2013

Details

NPI
1114159563
Entity type
Organization (NPI-2)
Legal business name
Alter Ego Orthopedics, P.S.C.
Organization subpart
No
Enumeration date
Aug 19, 2009
Last updated
Aug 6, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery15626PRYes

Practice location

369 Calle De Diego
Suite 602 Torre San Francisco
San Juan, PR 00923-3003

Phone 787-688-3500 · Fax 786-472-6851

Mailing address

138 Ave Winston Churchill
Pmb 675
San Juan, PR 00926-6013

Phone 787-688-3500 · Fax 786-472-6851

Authorized official

Mirylsa Colon-Martinez
President
7875655021

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