Organization
SERVICIOS MEDICOS ESPECIALIZADOSDE LEVITTOWN CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODOLFO OROZCO M.D (PRESIDENT)
(787) 635-4092
Entity
Organization
Contact information
Practice address
2765 AVE DOS PALMAS, SUITE 101, TOA BAJA, PR 00949-1911
(787) 261-6199
(787) 261-3552
Mailing address
PO BOX 51911, TOA BAJA, PR 00950-1911
(787) 261-6199
(787) 261-3552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10706
PR
2084P0800X
Psychiatry Physician
10397
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659362895
NPI
PR
01
—
1730170010
NPI
PR
Enumeration date
08/31/2016
Last updated
08/31/2016
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