Organization
NORTH BORINQUEN MEDICAL GROUP,CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL CRESPO M.D. (PRESIDENTE)
(787) 617-4156
Entity
Organization
Contact information
Practice address
CALLE GENERAL DEL VALLE # 1007, RIO PIEDRAS, SAN JUAN, PR 00924
(939) 258-5800
(939) 258-5800
Mailing address
CALLE GENERAL DEL VALLE # 999 APARTADO 100, RIO PIEDRAS, SAN JUAN, PR 00924
(939) 258-5800
(939) 258-5800
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207VX0000X
Obstetrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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