Organization
GEM CM M PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMANUEL MORENO CANDELARIA (MD)
(787) 398-6856
Entity
Organization
Contact information
Practice address
AGUADILLA SHOPPING CENTER #50, CARR 459 STE #25 Y 30, AGUADILLA, PR 00603
(787) 398-6856
Mailing address
PO BOX 4372, AGUADILLA, PR 00605-4372
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
08/14/2024
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