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Individual

DR. JOSE MIGUEL SAMALOT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
PLAZA KAROMA, MANATI, PR 00674-5956
(787) 854-7380
(787) 854-7380
Mailing address
PO BOX 1131, MANATI, PR 00674-1131
(787) 854-7380
(787) 854-7380

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7289
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2991
INTERNATIONAL MEDICAL CAR
PR
01
99361SA
TRIPLE-S
PR
Enumeration date
12/21/2005
Last updated
05/20/2014
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