Organization
GRUPO MEDICO JATIBONICO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOAQUIN A FELICIANO SR. (ADMINISTRATOR)
(787) 625-2500
Entity
Organization
Contact information
Practice address
65 CALLE PEDRO ROSARIO, AIBONITO, PR 00705-3237
(787) 625-2500
(787) 625-0438
Mailing address
URB. CARIBE 1551, CALLE ALDA, SAN JUAN, PR 00926
(787) 625-2500
(787) 625-0438
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
PR
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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