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Ave 65 De Infanteria Carr. 3 Km8.3 Carolina PR 00929-0207 | |
| (787) 757-6330 | |
| (787) 757-0520 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | Ave 65 De Infanteria, Carolina, Puerto Rico |
| Authorized Official Name and Position | Myriam Troche (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7877582525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 29207 San Juan PR 00929-0207 Ph: (787) 757-6330 | Ave 65 De Infanteria Carr. 3 Km8.3 Carolina PR 00929-0207 Ph: (787) 757-6330 |
| NPI Number | 1326189242 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 10/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326189242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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