Organization
NAEM PEDIATRIC GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DRISDE I CRUZ-MARTINEZ M.D. (PEDIATRICIAN)
(787) 805-3131
Entity
Organization
Contact information
Practice address
351 AVENIDA HOSTOS, SUITE 412 MEDICAL EMPORIUM, MAYAGUEZ, PR 00680-1504
(787) 805-3131
(787) 805-3131
Mailing address
PO BOX 957, MAYAGUEZ, PR 00681-0957
(787) 805-3131
(787) 805-3131
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14520
PR
Other
Enumeration date
03/07/2008
Last updated
03/07/2008
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