Organization
GRUPO GERIATRICO DEL NORTE PFC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DERIC LOPEZ RODRIGUEZ (PRESIDENT)
(787) 854-0671
Entity
Organization
Contact information
Practice address
GRUPO GERIATRICO DEL NORTE, Q1 COND VILLAS DE LA PLAYA 1, C CONDONINIO GERIATRICO, DORADO, PR 00646
(787) 854-0671
Mailing address
PO BOX 1506, DORADO, PR 00646
(787) 354-5670
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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