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Organization
CENTRO MEDICO DEL TURABO
Active
Organization
CENTRO MEDICO DEL TURABO
Active
Other names
GRUPO HOSPITALISTAS PEDIATRICOS FAJARDO
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization
Contact information
Practice address
HIMA SAN PABLO FAJARDO, AVE GENERAL VALERO 404, FAJARDO, PR 00738
(787) 655-0505
(787) 655-5086
Mailing address
PO BOX 4980, CAGUAS, PR 00726
(787) 653-3434
(787) 961-1901
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
10483
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
PR
Enumeration date
02/20/2007
Last updated
05/21/2020
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