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Organization
SOLIDARITY MEDICAL GROUP, INC.
Active
Organization
SOLIDARITY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS A. AYALA (PRESIDENTE)
(787) 834-6056
Entity
Organization
Contact information
Practice address
11-A, CALLE SANTO TOMAS, MAYAGUEZ, PR 00680
(787) 834-6056
Mailing address
101 CALLE MENDEZ VIGO W STE 701, MAYAGUEZ, PR 00680-3889
(787) 215-6056
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
02/15/2008
Last updated
09/30/2020
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