Organization
SOUTHERN GASTROENTEROLOGY MEDICAL GROUP, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNALDO M NIEVES M.D. (PRESIDENT)
(787) 843-0348
Entity
Organization
Contact information
Practice address
7810 CALLE NAZARET, URB SANTA MARIA, PONCE, PR 00717-1008
(787) 843-0348
(787) 840-8623
Mailing address
PO BOX 7183, PONCE, PR 00732-7183
(787) 843-0348
(787) 840-8623
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12225
PR
Other
Enumeration date
01/18/2007
Last updated
08/22/2020
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