# DOMENECH OB-GYN

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

## Provider details

- **NPI number:** 1326234766
- **Authorized official:** DR. FERNANDO L RAMPOLA MD (OWNER)
- **Authorized official phone:** (787) 766-3130

## Contact information

- **Practice address:** 315 CALLE MANUEL DOMENECH, SAN JUAN, PR 00918-3513
- **Practice address phone:** (787) 766-3130
- **Practice address fax:** (787) 765-4806
- **Mailing address:** 315 CALLE MANUEL DOMENECH, SAN JUAN, PR 00918-3513
- **Mailing address phone:** (787) 766-3130
- **Mailing address fax:** (787) 765-4806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 5009 | PR | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 09/19/2007