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Organization

METRO NORTH MEDICAL GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ITZA DORIS CHEVRES MD (CEO)
(939) 645-0504
Entity
Organization

Contact information

Practice address
CALLE 1 G12 VILLA MATILDE, TOA ALTA, PR 00953
(787) 473-0888
Mailing address
PO BOX 867, TOA ALTA, PR 00954-0867
(787) 473-0888

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
11/13/2018
Last updated
11/06/2023
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