Organization
INSTITUTO CIRUGIA ORBITOFACIAL, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS R POU MD (CHIEF MEDICAL DIRECTOR)
(787) 781-4700
Entity
Organization
Contact information
Practice address
100 CARR 165, SUITE 310, GUAYNABO, PR 00968-8047
(787) 781-4700
(787) 781-1590
Mailing address
PO BOX 8508, SAN JUAN, PR 00910-0508
(787) 781-4700
(787) 781-1590
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12463
PR
Other
Enumeration date
02/04/2008
Last updated
05/30/2012
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