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Organization
ALSO OB-GYN PSC
Active
Organization
ALSO OB-GYN PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA E FERNANDEZ TAMAYO MD (PRESIDENT)
(787) 259-1679
Entity
Organization
Contact information
Practice address
2225 PONCE BY PASS, EDIF. PARRA STE 405, PONCE, PR 00717-1321
(787) 259-1679
(787) 848-7596
Mailing address
2225 PONCE BY PASS, EDIF. PARRA STE 405, PONCE, PR 00717-1321
(787) 259-1679
(787) 848-7596
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
9372
PR
207VX0000X
Obstetrics Physician
Primary
9372
PR
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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