# NORTHERN MEDICAL SERVICES GROUP COPR

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275778003
- **Authorized official:** DR. FRANK A RODRIGUEZ SERRANO MD (PRESIDENTE)
- **Authorized official phone:** (939) 940-8715

## Contact information

- **Practice address:** CALLE COLON \# 106, AGUADA, PR 00602-3166
- **Practice address phone:** (939) 940-8715
- **Practice address fax:** (787) 883-4434
- **Mailing address:** PO BOX 9415, BAYAMON, PR 00960-9415
- **Mailing address phone:** (939) 940-8715
- **Mailing address fax:** (787) 883-4434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | 183250 | PR | Yes |

## Other

- **Enumeration date:** 12/08/2008
- **Last updated:** 12/08/2008