Organization
WESTERN NEONATAL SERVICES, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE GONZALEZ OLMO (OWNER)
(787) 834-8280
Entity
Organization
Contact information
Practice address
EDIF MEDICO IV # OFIC203, CALLE DR BASORA 55N, MAYAGUEZ, PR 00680-4810
(787) 834-8280
(787) 834-8280
Mailing address
EDIF MEDICO IV # OFIC203, CALLE DR BASORA 55N, MAYAGUEZ, PR 00680-4810
(787) 834-8280
(787) 834-8280
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
5774
PR
2080N0001X
Neonatal-Perinatal Medicine Physician
9338
PR
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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