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Organization
DR. EDGAR H. MORENO RODRIGUEZ CSP
Active
Organization
DR. EDGAR H. MORENO RODRIGUEZ CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR HJALMAR MORENO M.D. (INTERNAL MEDICINE)
(787) 255-6920
Entity
Organization
Contact information
Practice address
M16 CALLE 13 ESQ CARR 102, CABO ROJO, PR 00623
(787) 255-6920
(787) 255-6920
Mailing address
PO BOX 365, SAN GERMAN, PR 00683-0365
(787) 255-6920
(787) 255-6920
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
12469
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MO89456
MEDICARE
PR
Enumeration date
03/19/2015
Last updated
03/19/2015
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