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Organization

OFICINA MEDICA PRIMARIA DEL SUR CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSE E GONZALEZ MORENO MD (PRESIDENT)
(787) 690-2644
Entity
Organization

Contact information

Practice address
65 INFANTERIA A1, LOCAL ANEXO REMA, YAUCO, PR 00698
(787) 992-7199
(787) 992-7199
Mailing address
PO BOX 446, GUANICA, PR 00653-0446
(787) 992-7199
(787) 992-7199

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16881
PR
208D00000X
General Practice Physician
15915
PR

Other

Enumeration date
09/17/2015
Last updated
09/17/2015
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