Organization
CAPARRA INTERNAL MEDICINE SERVICE GROUP PSC
Active
Other names
CAPARRA INTERNAL MEDICINE SERVICE GROUP PSC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID MATTA- FONTANET (SUPERVISOR)
(787) 801-4025
Entity
Organization
Contact information
Practice address
390 CALLE GARDENIA, LA PONDEROSA, RIO GRANDE, PR 00745-2201
(787) 809-4025
(787) 809-3424
Mailing address
390 CALLE GARDENIA, LA PONDEROSA, RIO GRANDE, PR 00745-2201
(787) 809-4025
(787) 809-3424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13484
PR
Other
Enumeration date
08/11/2006
Last updated
02/25/2011
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