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Organization

DE DIEGO AMBULATORY CLINIC CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. WILLIAM JIMENEZ (BILLING AND COLLECTION MANAGER)
(787) 977-7575
Entity
Organization

Contact information

Practice address
150 AVE DE DIEGO STE 1, SAN JUAN, PR 00907-2309
(787) 977-7575
(787) 977-7586
Mailing address
150 AVE DE DIEGO STE 1, SAN JUAN, PR 00907-2309
(787) 977-7575
(787) 977-7586

Taxonomy

Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary

Other

Enumeration date
04/05/2022
Last updated
04/05/2022
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