Organization
CLINICA VENOSA DEL OESTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVIER SOSA M.D. (PRESIDENT / MEDICAL DIRECTOR)
(787) 832-0653
Entity
Organization
Contact information
Practice address
AVE HOSTOS # 410, MAYAGUEZ MEDICAL CENTER PRIMER PISO, MAYAGUEZ, PR 00682-6353
(787) 832-0653
(787) 832-0653
Mailing address
15 CALLE LUIS FELIPE DESSUS, JUANA DIAZ, PR 00795-1501
(787) 832-0653
(787) 832-0653
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
14191
PR
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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