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Organization
NEUROTEST DIAGNOSTIC
Active
Organization
NEUROTEST DIAGNOSTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN CARLOS ROBERT (ADMINISTRATOR)
(787) 726-3724
Entity
Organization
Contact information
Practice address
700 CALLE DR PAVIA FERNANDEZ, SUITE 202, SANTURCE, PR 00909-2758
(787) 726-3724
Mailing address
PO BOX 8700, SAN JUAN, PR 00910-0700
(787) 726-3724
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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