Organization
GRUPO MEDICO CLASICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD NIEVES-ROMAN (M.D.)
(787) 585-8888
Entity
Organization
Contact information
Practice address
L2 CALLE 6, VILLAS DE RIO GRANDE, RIO GRANDE, PR 00745-2825
(787) 585-8888
(787) 888-8887
Mailing address
PMB 157 BOX 2500, TRUJILLO ALTO, PR 00987
(787) 585-8888
(787) 888-8887
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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