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Organization

PEDIATRIC ORTHOPEDICS OF PUERTO RICO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERNESTO JOSE DEL VALLE HERNANDEZ MD (PRESIDENT)
(787) 478-0782
Entity
Organization

Contact information

Practice address
410 AVENIDA HOSTOS CARR #2 KM 157, SUITE 117, MAYAGUEZ, PR 00680
(787) 478-0782
Mailing address
PO BOX 3073, MAYAGUEZ, PR 00681-3073
(787) 478-0782

Taxonomy

Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary

Other

Enumeration date
09/26/2019
Last updated
09/26/2019
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