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1503 Calle Prof Augusto Rodriguez Ste 601 San Juan PR 00909-2276 | |
| (787) 497-0800 | |
| (787) 982-6464 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1503 Calle Prof Augusto Rodriguez Ste 601, San Juan, Puerto Rico |
| Authorized Official Name and Position | Ivan Melendez-rivera (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7872845884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 7793 Ponce PR 00732-7793 Ph: (787) 284-5884 | 1503 Calle Prof Augusto Rodriguez Ste 601 San Juan PR 00909-2276 Ph: (787) 497-0800 |
| NPI Number | 1114577046 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114577046 | NPI | - | NPPES |
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