Organization
RECINTO DE CIENCIAS MEDICAS
Active
Other names
Recinto de Ciencias Medicas-Dermatologia
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MYRIAM TROCHE RHIA (CREDENTIALING COORDINATOR)
(787) 758-2525
Entity
Organization
Contact information
Practice address
CENTRO MEDICO DE PR EDIF PRINCIPAL, ESCUELA DE MEDICINA APTO. 29134, SAN JUAN, PR 00936-0134
(787) 758-2525
(787) 274-8154
Mailing address
PO BOX 29134, SAN JUAN, PR 00929-0134
(787) 758-2525
(787) 274-8154
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13
PPMI GROUP
PR
Enumeration date
07/12/2006
Last updated
10/22/2010
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