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Organization

JC PROFESSIONAL MEDICAL SERVICES, PSC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JULIO DOMINGO CORDERO SEPULVEDA MD (GENERAL PHYSICIAN)
(787) 743-1985
Entity
Organization

Contact information

Practice address
CARR. 931 KM 5.4, BO.NAVARRO, GURABO, PR 00778
(787) 743-1985
(787) 744-6276
Mailing address
698 VEREDAS DE LOS CEDROS, VEREDAS, GURABO, PR 00778
(787) 743-1985
(787) 744-6276

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
16022
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16022
LISCENCE
PR
Enumeration date
07/23/2008
Last updated
01/27/2010
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