Individual
DR. PABLO IVAN ALMODOVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 STREET PAVIA, SUITE 201, SAN JUAN, PR 00909-2242
(787) 727-5892
(787) 268-3620
Mailing address
611 CALLE PAVIA, SUITE 201, SAN JUAN, PR 00909-2242
(787) 727-5892
(787) 268-3620
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3519
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
064979
LA CRUZ AZUL DE PR (CA)
PR
01
—
26193
MEDICARE
PR
01
—
94849
SSS
PR
Enumeration date
10/19/2005
Last updated
04/29/2008
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