Organization
INSTITUTO RENAL DE SAN JUAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS QUESADA MD (PRESIDENTE)
(787) 726-7008
Entity
Organization
Contact information
Practice address
611 CALLE PAVIA, OFICINA 214, SAN JUAN, PR 00909-2239
(787) 726-7008
(787) 726-7083
Mailing address
PO BOX 19405, SAN JUAN, PR 00910-1405
(787) 723-7008
(787) 726-7083
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
6160
PR
Other
Enumeration date
02/16/2012
Last updated
02/16/2012
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