Organization
POLICLINICA DR MARIN CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RADAMES MARIN ROMAN M.D. (PRESIDENT)
(787) 856-0844
Entity
Organization
Contact information
Practice address
COMERCIO ST # 61, YAUCO, PR 00694
(787) 856-0844
(787) 267-8777
Mailing address
P O BOX 1665, YAUCO, PR 00698
(787) 856-0844
(787) 267-8777
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/14/2008
Last updated
04/20/2008
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