Organization
NORTHERN MEDICAL SERVICES GROUP COPR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK A RODRIGUEZ SERRANO MD (PRESIDENTE)
(939) 940-8715
Entity
Organization
Contact information
Practice address
CALLE COLON # 106, AGUADA, PR 00602-3166
(939) 940-8715
(787) 883-4434
Mailing address
PO BOX 9415, BAYAMON, PR 00960-9415
(939) 940-8715
(787) 883-4434
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
183250
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183250
183250 REGISTER CERTIFIED
PR
Enumeration date
12/08/2008
Last updated
12/08/2008
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