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Organization

SOPHROSYNE MEDICAL ALLIANCE LLC

Active
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Organization

SOPHROSYNE MEDICAL ALLIANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VICTOR L PEREZ GONZALEZ MD (PRESIDENTE)
(787) 879-1585
Entity
Organization

Contact information

Practice address
1462 CALLE PROF AUGUSTO RODRIGUE, SAN JUAN, PR 00909-2145
(787) 879-1585
Mailing address
PO BOX 141567, ARECIBO, PR 00614-1567
(787) 879-1585

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—

Other

Enumeration date
08/30/2022
Last updated
08/21/2023
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