Organization
SERVICIOS PEDIATRICOS SALUD DANDO A MIS NINOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WANDA I AGOSTO M.D. (CEO)
(787) 852-3283
Entity
Organization
Contact information
Practice address
CALLE ULISES MARTINEZ #52, HUMACAO, PR 00791
(787) 852-3283
Mailing address
PO BOX 8754, HUMACAO, PR 00792-8754
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9514
PR
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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