Organization
EMBD MEDICS PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO X MARRERO-DE GRACIA (PRESIDENT)
(787) 599-1174
Entity
Organization
Contact information
Practice address
INST SAN PABLO, SUITE 503, BAYAMON, PR 00961
(787) 740-1011
Mailing address
R11 CALLE 2, BAYAMON, PR 00957-4315
(787) 599-1174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
15171
PR
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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