Organization
WESTERN PR NEUROLOGICAL CLINIC CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ALBERTO ACEVEDO M.D. (CEO)
(787) 447-8819
Entity
Organization
Contact information
Practice address
MEDICAL EMPORIUM II CARR #2, NOSTOS AVENUE KY. 157, SUITE 3A, MAYAGUEZ, PR 00680
(787) 265-6622
(787) 265-6622
Mailing address
#42 COSTA BRAVA STREET, URB. LAS VISTAS, CABO ROJO, PR 00623
(787) 265-6622
(787) 265-6622
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
16784
PR
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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