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Organization
NORTH SHORE MEDICAL GROUP LLC
Active
Organization
NORTH SHORE MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA M RODRIGUEZ - PORTELA MD (PRESIDENT)
(787) 345-9682
Entity
Organization
Contact information
Practice address
39 CARR 2, HOSPITAL WILMA N VAZQUEZ SUITE 101, VEGA BAJA, PR 00693-4824
(787) 858-3550
(787) 855-3339
Mailing address
781 CALLE ARRAYADO, URB. SAN DEMETRIO, VEGA BAJA, PR 00693
(787) 858-3550
(787) 855-3339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16634
PR
208D00000X
General Practice Physician
14001
PR
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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