Organization
SAMARI ROMAN GANDULLA & ASOCIADOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMARI ROMAN GANDULLA M.D. (PRESIDENTA)
(787) 649-7212
Entity
Organization
Contact information
Practice address
1452 AVE ASHFORD, 408 ADA LIGIA, SAN JUAN, PR 00907-1581
(787) 509-7212
Mailing address
1452 AVE ASHFORD, 408 ADA LIGIA, SAN JUAN, PR 00907-1581
(787) 509-7212
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QS1000X
Student Health Clinic/Center
—
PR
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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