Organization
UNIVERSIDAD DE PUERTO RICO DE CAYEY
Active
Other names
Plan de Practica Intramular
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE COLON (CREDENTIALING COORDINATOR)
(787) 738-2161
Entity
Organization
Contact information
Practice address
AVE ANTONIO R BARCELO, 205, CAYEY, PR 00736
(787) 738-2161
Mailing address
AVE ANTONIO R BARCELO, 205, CAYEY, PR 00736
(787) 738-2161
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
03/29/2012
Last updated
03/29/2012
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