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Individual

ANTOLIN J PADILLA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
67 CARAZO ST, GUAYNABO, PR 00976
(787) 708-4469
(787) 789-4366
Mailing address
CALLE VIA DEL NILO RH3, RIO CRISTAL ENCANTADA, TRUJILLO ALTO, PR 00976
(787) 708-4469
(787) 789-4366

Taxonomy

Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
11800
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
87730
PR
Enumeration date
02/27/2006
Last updated
07/08/2007
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