# GRUPO ORTOPEDICO DEL ESTE C.S.P.

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

## Provider details

- **NPI number:** 1699952523
- **Authorized official:** ARIEL CHACON-BALADO M.D. (RESIDENT AGENT)
- **Authorized official phone:** (787) 504-9848

## Contact information

- **Practice address:** 1687 CALLE AMARILLO APT 3102, COND. LOS CEDROS, SAN JUAN, PR 00926-3065
- **Practice address phone:** (787) 504-9848
- **Mailing address:** 1687 CALLE AMARILLO APT 3102, COND. LOS CEDROS, SAN JUAN, PR 00926-3065
- **Mailing address phone:** (787) 504-9848

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 16682 | PR | Yes |

## Other

- **Enumeration date:** 01/22/2008
- **Last updated:** 01/22/2008