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Organization

DOCTORIS MEDICAL GROUP CSP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDGAR N QUINTERO MALDONADO MD (PRESIDENT)
(787) 256-5555
Entity
Organization

Contact information

Practice address
CARR. PR 3 KM 1 HM 9, EAST MEDICAL & PROFESSIONAL CENTER SUITE, CANOVAS, PR 00729
(787) 256-5555
(787) 256-5454
Mailing address
PO BOX 2379, CANOVANAS, PR 00729-2379
(787) 256-5555
(787) 256-5454

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
207RA0002X
Adult Congenital Heart Disease Physician
207RG0100X
Gastroenterology Physician
207RP1001X
Pulmonary Disease Physician
208D00000X
General Practice Physician
Primary

Other

Enumeration date
01/27/2021
Last updated
01/27/2021
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