Organization
SPORTMED INTERNATIONAL, LLC.
Active
Organization
SPORTMED INTERNATIONAL, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORGE LUIS NAZARIO (PRESIDENT)
(787) 534-3062
Entity
Organization
Contact information
Practice address
U12 CALLE 10, ALTURAS DE FLAMBOYAN, BAYAMON, PR 00959-8052
(787) 534-3062
Mailing address
S3-11 CARR 21 SUITE 301, URB LAS LOMAS, SAN JUAN, PR 00921
(787) 534-3062
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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