# GRUPO MEDICO SAMARITANO PC

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

## Provider details

- **NPI number:** 1407125255
- **Authorized official:** MRS. IRIS R DELGADO AGOSTO (PRESIDENTA)
- **Authorized official phone:** (787) 210-1439

## Contact information

- **Practice address:** BARRIO BARRAZAS CARRETERA 182 KM 3, CAROLINA, PR 00981-0000
- **Practice address phone:** (787) 661-1070
- **Practice address fax:** (787) 761-0613
- **Mailing address:** URB CIUDAD JARDIN, 51 CALLE SIEMPREVIVA, GURABO, PR 00778-0000
- **Mailing address phone:** (787) 210-1439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | PR | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | PR | Yes |

## Other

- **Enumeration date:** 12/23/2011
- **Last updated:** 12/23/2011