Organization
GRUPO GINECO-OBSTETRICO DEL NORTE PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELLE M TRILLO (BILLING/ADMINISTRATOR)
(787) 413-4896
Entity
Organization
Contact information
Practice address
66 CALLE GEORGETTI, SAN JUAN, PR 00925
(787) 765-4208
Mailing address
66 CALLE GEORGETTI, SAN JUAN, PR 00925
(787) 765-4208
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28009
SSS
PR
Enumeration date
09/15/2006
Last updated
09/19/2012
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