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Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1053573543- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- AVE LUIS MUNOZ RIVERA EDIF 91 ALTOS, SANTA ISABEL, PR, 00757
- Phone
- (787) 845-1188
- Fax
- (787) 845-2653
Specialties & Taxonomies
Physician Assistant, Medical
Physician Assistant
Primary License: PR