Organization
WEST GYN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO PABLO-DUCLERC MD (PRESIDENT)
(787) 833-0420
Entity
Organization
Contact information
Practice address
55 CALLE DOCTOR BASORA, EDIFICIO MEDICO VI SUITE 102, MAYAGUEZ, PR 00680
(787) 833-0420
Mailing address
509 VILLA FONTANA, MAYAGUEZ, PR 00682-7452
(787) 833-0420
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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