Organization
JMMC MEDICAL GROUP, CP
Active
Organization
JMMC MEDICAL GROUP, CP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYRA MERCEDES CASTA MD (VICEPRESIDENT)
(787) 604-7776
Entity
Organization
Contact information
Practice address
2U5 AVE. LAUREL LOCAL 1, URB. LOMAS VERDES, BAYAMON, PR 00957
(787) 604-7776
Mailing address
2M8 AVE. LAUREL PMB 202, URB. LOMAS VERDES, BAYAMON, PR 00956-3341
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
14334
PR
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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