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Organization

CENTRO MEDICO DEL TURABO INC

Active
Other names
GRUPO OB GYN FAJARDO
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ORLANDO RIVERA LCDO (EXECUTIVE DIRECTOR)
(787) 653-3434
Entity
Organization

Contact information

Practice address
HIMA SAN PABLO FAJARDO, AVE GENERAL VALERO 404, FAJARDO, PR 00738
(787) 655-0505
(787) 655-5086
Mailing address
PO BOX 4980, CAGUAS, PR 00726-4980
(787) 653-3434
(787) 653-3517

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
8463
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MEDICAL LICENSE
5654
PR
Enumeration date
04/18/2007
Last updated
08/12/2013
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