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Organization
CLINICA DE UROLOGIA RECONSTRUCTIVA
Active
Organization
CLINICA DE UROLOGIA RECONSTRUCTIVA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCIAL A WALKER M.D. (PRESIDENT)
(787) 704-4141
Entity
Organization
Contact information
Practice address
GAUTIER BENITEZ AVE., SUITE C20-A, CAGUAS, PR 00725
(787) 704-4141
(787) 704-4144
Mailing address
GAUTIER BENITEZ AVE, SUITE C20-A, CAGUAS, PR 00725-6539
(787) 704-4141
(787) 704-4144
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
12551
PR
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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