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Organization
CLINICA DE MANEJO DEL DOLOR DR CRAWFORD W LONG C S P
Active
Organization
CLINICA DE MANEJO DEL DOLOR DR CRAWFORD W LONG C S P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDUARDO IBARRA ORTEGA M.D. (PRESIDENTE)
(787) 735-8900
Entity
Organization
Contact information
Practice address
204 CALLE JULIO CINTRON, EDIFICIO GUAYACAN SUITE 224, AIBONITO, PR 00705
(787) 735-8900
(787) 735-3040
Mailing address
PO BOX 1869, AIBONITO, PR 00705-1869
(787) 735-8900
(787) 735-3040
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
7701
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0082070
PETAN
PR
Enumeration date
06/03/2006
Last updated
03/16/2023
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