Organization
GOLDEN MEDICAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS NIEVES (ADMINISTRATOR)
(787) 796-6568
Entity
Organization
Contact information
Practice address
A6 LUIS MUNOZ RIVERA, URB MARTORELL, DORADO, PR 00646-0000
(787) 796-6568
Mailing address
PO BOX 687, DORADO, PR 00646-0687
(787) 796-6568
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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