Individual
ANIBAL PETERSON-CAMACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CMS DR E KOPPISCH, BARBASA ESQ SICILIA 404, SAN JUAN, PR 00926
(487) 758-8840
(787) 758-9962
Mailing address
CALLE 15 H 13, JAIDINES DE CAPARRA, BAYAMON, PR 00959
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6570
PR
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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