Organization
RECINTO DE CIENCIAS MEDICAS
Active
Other names
Recinto de Ciencias Medicas-Cirugia Oral y Maxilofacial
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRIAM TROCHE RHIA (CREDENTIALING COORDINATOR)
(787) 758-2525
Entity
Organization
Contact information
Practice address
CENTRO MEDICO DE PR EDIF. PRINCIPAL, ESCUELA DE MEDICINA APTO 29134, SAN JUAN, PR 00936-0134
(787) 758-2525
(787) 274-8156
Mailing address
PO BOX 29134, SAN JUAN, PR 00929-0134
(787) 758-2525
(787) 274-8154
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9
PPMI GROUP
PR
Enumeration date
07/07/2006
Last updated
10/22/2010
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