Organization
SANTA ISABEL MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE D QUILES MD (PRESIDENT)
(787) 845-6211
Entity
Organization
Contact information
Practice address
CALLE LUIS MUNOZ RIVERA, NUMERO 54, SANTA ISABEL, PR 00757-0000
(787) 845-6211
(787) 845-2925
Mailing address
PO BOX 645, SANTA ISABEL, PR 00757-0645
(787) 845-6211
(787) 845-2925
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
7665
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7665
LICENSE
PR
Enumeration date
10/26/2010
Last updated
10/26/2010
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