Organization
DR HEREDIA MEDICAL SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLOS MANUEL HEREDIA M.D (PRESIDENT)
(787) 862-3939
Entity
Organization
Contact information
Practice address
30 CALLE BALDORIOTY, MOROVIS , PR 00687, MOROVIS, PR 00687-3111
(787) 862-3939
(787) 862-3939
Mailing address
30 CALLE BALDORIOTY, MOROVOVIS, PR 00687, MOROVIS, PR 00687-3111
(787) 862-3939
(787) 862-3939
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14360
PR
Other
Enumeration date
06/03/2009
Last updated
06/03/2009
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