Organization
G C T SURGERY ,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE QUILICHINI SR. M.D. (INCORPORADOR)
(787) 383-6162
Entity
Organization
Contact information
Practice address
1629 CALLE SANTA EDUVIGIS, URB.SAGRADO CORAZON, SAN JUAN, PR 00926-4228
(787) 383-6162
(787) 791-4834
Mailing address
1629 CALLE SANTA EDUVIGIS, URB.SAGRADO CORAZON, SAN JUAN, PR 00926-4228
(787) 383-6162
(787) 791-4834
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
8778
PR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
8778
PR
Other
Enumeration date
01/03/2014
Last updated
01/03/2014
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