Organization
DR. OBED PEREZ GONZALEZ CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OBED PEREZ GONZALEZ MD (PRESIDENT)
(787) 892-0944
Entity
Organization
Contact information
Practice address
100 AVE. HERNAN ALVAREZ, PLAZA METROPOLITANA SUITE 207, SAN GERMAN, PR 00683
(787) 892-0944
(787) 892-0944
Mailing address
PO BOX 473, SAN GERMAN, PR 00683-0473
(787) 892-0944
(787) 892-0944
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
9517
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84236
MEDICARE
PR
Enumeration date
09/17/2015
Last updated
09/17/2015
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