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Organization
DE DIEGO AMBULATORY CLINIC CORP
Active
Organization
DE DIEGO AMBULATORY CLINIC CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM JIMENEZ (BILLING AND COLLECTION MANAGER)
(787) 977-7575
Entity
Organization
Contact information
Practice address
150 AVE DE DIEGO STE 1, SAN JUAN, PR 00907-2309
(787) 977-7575
(787) 977-7586
Mailing address
150 AVE DE DIEGO STE 1, SAN JUAN, PR 00907-2309
(787) 977-7575
(787) 977-7586
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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