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Organization
PROFESSIONAL MEDICAL CENTER
Active
Organization
PROFESSIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIO D CORDERO SEPULVEDA MD (PRESIDENT)
(787) 743-1985
Entity
Organization
Contact information
Practice address
CARR. 931 KM 5.5, PRADERAS SHOPPING CENTER, GURABO, PR 00778
(787) 743-1985
(787) 744-6276
Mailing address
698 VEREDAS LOS CEDROS, URB. VEREDAS DE NAVARRO, GURABO, PR 00778-6098
(787) 743-1985
(787) 744-6276
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
16022
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
332572
REGISTER NUMBER
PR
Enumeration date
06/10/2014
Last updated
06/10/2014
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