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Organization
INNOVANCE PULMONARY GROUP, LLC
Active
Organization
INNOVANCE PULMONARY GROUP, LLC
Active
Other names
INNOVANCE PULMONARY GROUP, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REINALDO GONZALEZ MARTINEZ MD (PRESIDENT)
(787) 645-1662
Entity
Organization
Contact information
Practice address
68 CALLE SANTA CRUZ, EDIF TORRES SAN PABLO OFIC 303, BAYAMON, PR 00961
(787) 785-3923
(787) 780-4872
Mailing address
276 CALLE JILGUERO, SAN JUAN, PR 00926-7109
(787) 785-3923
(787) 780-4872
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
NULL
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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