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Organization
SAMBA BRAS MEDICAL, P.S.C
Active
Organization
SAMBA BRAS MEDICAL, P.S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMIL ABOU EL HOSSEN DUARTE M.D (PRESIDENTE)
(787) 863-3636
Entity
Organization
Contact information
Practice address
AVE. GENERAL VALERO 410, TORRE MEDICA SAN PABLO OFICINA 409, FAJARDO, PR 00738
(787) 863-3636
(787) 863-3638
Mailing address
P.O. BOX 823, FAJARDO, PR 00738-0823
(787) 863-3636
(787) 863-3638
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
11782
PR
Other
Enumeration date
03/24/2010
Last updated
03/29/2012
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