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Organization

SERVICIOS MEDICOS DEL PLATA 4352

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLADYS NIEVES (ADMINISTRADORA)
(787) 796-6568
Entity
Organization

Contact information

Practice address
349 MENDEZ VIGO, SUITE 10, DORADO, PR 00646-0687
(787) 796-6568
Mailing address
PO BOX 687, DORADO, PR 00646-0687

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
PR

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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