Organization
CENTRO CLINICO GINECOLOGICO DEL SUR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD HERNANDEZ MD (PRESIDENT)
(787) 487-1021
Entity
Organization
Contact information
Practice address
25 CALLE BADE PEREZ ESTE, GUAYAMA, PR 00784
(787) 487-1021
Mailing address
PO BOX 2157, GUAYAMA, PR 00785-2157
(787) 487-1021
(787) 866-3214
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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