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Medicos Especializados De San Juan

Pain Medicine, Interventional Pain Medicine in San Juan, PR. Organization (NPI-2).

NPI number1548574635
StatusActive
Last updated in NPPESMay 25, 2012

Details

NPI
1548574635
Entity type
Organization (NPI-2)
Legal business name
Medicos Especializados De San Juan
Organization subpart
No
Enumeration date
Jul 30, 2010
Last updated
May 25, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine15828PRYes

Practice location

576 Ave Cesar Gonzalez
Ste 508
San Juan, PR 00918

Phone 787-766-7070

Mailing address

Po Box 16698
San Juan, PR 00908-6698

Authorized official

Alejandro Porrata
Owner
7874209259

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Other Interventional Pain Medicine Physician providers in San Juan, PR

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