Organization
THE MAYAGUEZ CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OTEGBOLA OJO M.D. (PRESIDENT)
(787) 710-2532
Entity
Organization
Contact information
Practice address
# 600 AVENIDA COMERIO NORTE, A LA ORDEN SHOPPING CENTER, TOA BAJA, PR 00950-1502
(787) 710-2532
(939) 202-7294
Mailing address
PO BOX 51502, TOA BAJA, PR 00950-1502
(787) 710-2532
(939) 202-7294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/29/2014
Last updated
08/29/2014
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