Organization
METRO-EASTERN PHYSICIAN GROUP L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL JOSE ORTIZ BUSTILLO MD (PRESIDENT)
(787) 893-3411
Entity
Organization
Contact information
Practice address
41 CALLE MUNOZ RIVERA, JUNCOS, PR 00777-3149
(787) 893-3411
Mailing address
PO BOX 1945, JUNCOS, PR 00777-1945
(787) 893-3411
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
01/20/2022
Last updated
01/20/2025
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