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Organization
AGUADA INTERNAL MEDICINE SERVICE PSC
Active
Organization
AGUADA INTERNAL MEDICINE SERVICE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS ROBERTO SOTO MD. (ADMINISTRATOR)
(787) 431-9470
Entity
Organization
Contact information
Practice address
230 CALLE MARINA, AGUADA, PR 00602-3217
(787) 868-8200
(787) 868-8200
Mailing address
PO BOX 873, AGUADA, PR 00602-0873
(787) 868-8200
(787) 868-8200
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
16689
PR
Other
Enumeration date
01/28/2014
Last updated
10/27/2014
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