Individual
IVAN OSCAR SUBERVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
CARR.#5 AVE CENTRAL JUANITA FINAL, BAYAMON, PR 00960
(939) 225-2400
Mailing address
CALLE 1, LOTE 18, METRO OFFICE PARK SUITE 400, GUAYNABO, PR 00968
(787) 774-3344
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
19924
PR
2084P0800X
Psychiatry Physician
19924
PR
Other
Enumeration date
03/18/2015
Last updated
03/04/2016
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