Organization
GRUPO MEDICO POLICLINICA SAN PEDRO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE SANDALIO RIVERA BADUI M.D. (PRESIDENT)
(787) 839-3980
Entity
Organization
Contact information
Practice address
211 CALLE MORSE, ARROYO, PR 00714-2350
(787) 839-3980
(787) 271-2515
Mailing address
PO BOX 818, ARROYO, PR 00714-0818
(787) 839-3980
(787) 271-2515
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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