Individual
DR. JULIO CESAR MANTERO HORMAZABAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1845 CARR 2, STE 606, BAYAMON, PR 00959-7204
(787) 798-1645
(787) 798-1604
Mailing address
154 CALLE COLA DE PESCADO, GUAYNABO, PR 00969-5818
(787) 798-1645
(787) 798-1604
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
8555
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8555
STATE LICENSE
PR
Enumeration date
06/21/2005
Last updated
05/24/2017
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