Organization
TEMPLO SAGRADO DE INICIACION RESURRECION Y ASCENCION INC
Active
Other names
Templo Sagrado de IRA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FEDERICO DELGADO PHD (HIGH PRIEST)
(510) 606-7516
Entity
Organization
Contact information
Practice address
40 TEODOMIRO DELFAUS ST, JUNCOS, PR 00777
(510) 606-7615
Mailing address
40 TEODOMIRO DELFAUS ST, JUNCOS, PR 00777
(510) 606-7615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
47784
PR
Other
Enumeration date
04/28/2011
Last updated
04/28/2011
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