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Organization

GRUPO PEDIATRICO CIDRENO, CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLOS CACERES MD (PRESIDENT)
(787) 739-8295
Entity
Organization

Contact information

Practice address
121 CALLE JOSE DE DIEGO, SUITE 3, CIDRA, PR 00739-3243
(787) 739-8295
(787) 739-3588
Mailing address
PO BOX 6030, CAGUAS, PR 00726-6030
(787) 739-8295
(787) 739-3588

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
08/30/2012
Last updated
08/30/2012
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