Organization · NPI-2

Adm Medical Group INC

Clinic/Center · Bayamon, PR

NPI number1194047951
StatusActive
Last updated in NPPESFeb 22, 2010

Details

NPI
1194047951
Entity type
Organization (NPI-2)
Legal business name
Adm Medical Group INC
Organization subpart
No
Enumeration date
Feb 22, 2010
Last updated
Feb 22, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

Bayamon Medical Mall Ste 503
Bayamon, PR 00959-7200

Phone 787-464-1384

Mailing address

Po Box 2669
Bayamon, PR 00960-2669

Authorized official

Carlos Juan Miranda
President
7874641384

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