Organization
KIANA MED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE RODRIGUEZ OCANA (GENERAL MEDICINE)
(787) 601-0739
Entity
Organization
Contact information
Practice address
CALLE 12 NUM 4, NUEVA VIDA EL TUQUE, PONCE, PR 00728
(787) 601-3729
Mailing address
PO BOX 8243, PONCE, PR 00732-8243
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
18020
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417266453
NPI
PR
Enumeration date
05/04/2016
Last updated
05/04/2016
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