Western Doctor Connection
Clinic/Center, Endoscopy in Mayaguez, PR. Organization (NPI-2).
NPI number1508009838
StatusActive
Last updated in NPPESApr 16, 2009
Details
- NPI
- 1508009838
- Entity type
- Organization (NPI-2)
- Legal business name
- Western Doctor Connection
- Organization subpart
- No
- Enumeration date
- Apr 16, 2009
- Last updated
- Apr 16, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0800X | Clinic/Center, Endoscopy | – | – | Yes |
Practice location
Ave Hostos # 410Bo. Sabalos
Mayaguez, PR 00682-6353
Phone 787-519-4708
Mailing address
Po Box 215Mayaguez
Mayaguez, PR 00681-0215
Phone 787-519-4708
Authorized official
Luis Jimenez Reyes
President
7874008760
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